Kahan Preventive Healthcare, P.L,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0047321 Issued in FL

Legal business name

KAHAN PREVENTIVE HEALTHCARE, P.L,

Practice address

3661 Madaca LN
Tampa, FL 33618-2048

Phone

(813) 968-7830

Fax

(813) 265-9697

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Kelly L Kilgore

Title

Office Manager

Phone

(813) 968-7830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1821241829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-968-7830",
            "fax_number": "813-265-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-968-7830",
            "fax_number": "813-265-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHAN PREVENTIVE HEALTHCARE, P.L,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-968-7830"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0047321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261369700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirun Kadiwar
• Samer Kadous
• Patrycja Kadzielawa
• Kaf Path LLC
• Martin Daniel Kafina, MD
• Bruce Allen Kahan, MD
• Cassondra Kahl, APRN
• Jakub Kahl, MD
• Kahla Services
• Jason Todd Kahle, CPO

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.