Provider Demographics
NPI:1659353639
Name:KAHN, JOEL KAUFMAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:KAUFMAN
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:31500 TELEGRAPH ROAD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025
Mailing Address - Country:US
Mailing Address - Phone:248-731-7412
Mailing Address - Fax:248-592-7130
Practice Address - Street 1:31500 TELEGRAPH ROAD
Practice Address - Street 2:SUITE 215
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025
Practice Address - Country:US
Practice Address - Phone:248-731-7412
Practice Address - Fax:248-592-7130
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2024-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301047704207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00961553OtherRAILROAD MEDICARE
MI00631GOtherHEALTH ALLIANCE PLAN
MI00631GOtherHEALTH ALLIANCE PLAN
MIMI3973148Medicare PIN