Provider Demographics
NPI:1447359971
Name:KAHN, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:KAHN
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 1:2954 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3418
Mailing Address - Country:US
Mailing Address - Phone:805-682-7411
Mailing Address - Fax:805-965-3441
Practice Address - Street 1:2954 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3418
Practice Address - Country:US
Practice Address - Phone:805-682-7411
Practice Address - Fax:805-965-3441
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF79190Medicare UPIN
CAW14270AMedicare PIN
CAW14270Medicare PIN