Provider Demographics
NPI:1801812987
Name:SHERMAN KAHAN, MD, PA
Entity type:Organization
Organization Name:SHERMAN KAHAN, MD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HITESH
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-694-9033
Mailing Address - Street 1:74 THOMAS JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4501
Mailing Address - Country:US
Mailing Address - Phone:301-694-9033
Mailing Address - Fax:301-694-6204
Practice Address - Street 1:74 THOMAS JOHNSON DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4501
Practice Address - Country:US
Practice Address - Phone:301-694-9033
Practice Address - Fax:301-694-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0012697207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1309252OtherCIGNA
MD39886801OtherBLUE SHIELD
GA406063826OtherUNITED HEALTH CARE RR/MC
MD493908OtherNC PPO
MD1127596OtherUNITED HEALTH CARE
MD761131500Medicaid
DC14590001OtherCARE FIRST
MD4069663OtherAETNA NON-HMO
MD454107OtherAETNA HMO
MD54632065OtherMULTI PLAN
MD677570OtherMAMSI/UNITED HEALTH CARE
MD277270OtherMAMSI/UNITED HEALTH CARE
MD4069663OtherAETNA NON-HMO
MD54632065OtherMULTI PLAN
MD1309252OtherCIGNA
MD454107OtherAETNA HMO
MDC49034Medicare UPIN
MD=========OtherINFORMED