Organization Active NPI

Kahn Center for Cardiac Longevity

  • Cardiovascular Disease Physician
  • Bloomfield Township, MI
National Provider Identifier
1609233113
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301047704 Issued in MI
Legal business name
KAHN CENTER FOR CARDIAC LONGEVITY
Practice address
4050 W Maple Rd
Suite 108
Bloomfield Township, MI 48301-3148
Phone
(248) 731-7412
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joel K Kahn, M.D.
Title
Owner
Phone
(248) 891-5068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4301047704 MI Primary

Addresses

Primary practice location

4050 W Maple Rd
Suite 108
Bloomfield Township, MI 48301-3148

Mailing address

4050 W Maple Rd
Suite 108
Bloomfield Township, MI 48301-3148
Phone (248) 731-7412

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1609233113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD",
            "address_2": "SUITE 108",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-731-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD",
            "address_2": "SUITE 108",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-731-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHN CENTER FOR CARDIAC LONGEVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-891-5068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301047704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.