Provider Demographics
NPI:1699921890
Name:KAHAN, SCOTT IRA (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:IRA
Last Name:KAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9913 MONTAUK AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1625
Mailing Address - Country:US
Mailing Address - Phone:202-223-3077
Mailing Address - Fax:202-872-8142
Practice Address - Street 1:5425 WISCONSIN AVE STE 600
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3588
Practice Address - Country:US
Practice Address - Phone:202-223-3077
Practice Address - Fax:202-872-8142
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0370972083P0901X
MDD00626412083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD037097OtherDC LICENSE