Provider Demographics
NPI:1811941826
Name:KAHN, DAVID MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:2964 N STATE ROAD 7
Practice Address - Street 2:SUITE 330
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5715
Practice Address - Country:US
Practice Address - Phone:954-984-9998
Practice Address - Fax:954-984-9988
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME95730207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12477OtherDIMENSION
FL311788OtherAVMED
FL56702OtherBCBS
FL1315541OtherWELLCARE MEDICARE
FL958671OtherWELLCARE
FL7431808OtherAETNA
FL275460600Medicaid
FL12477OtherDIMENSION
FL958671OtherWELLCARE
FLU7549ZMedicare PIN