Provider Demographics
NPI:1912062829
Name:KAHAN, NORMAN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:JOSEPH
Last Name:KAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 KNOWLES DR
Mailing Address - Street 2:207
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1549
Mailing Address - Country:US
Mailing Address - Phone:408-374-1112
Mailing Address - Fax:408-374-1133
Practice Address - Street 1:555 KNOWLES DR
Practice Address - Street 2:207
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1549
Practice Address - Country:US
Practice Address - Phone:408-374-1112
Practice Address - Fax:408-374-1133
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60236174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G602360Medicare ID - Type Unspecified
E46486Medicare UPIN