Individual
DR. BRUCE ALLEN KAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Mailing address
3661 MADACA LN, TAMPA, FL 33618-2048
(813) 968-7830
(813) 265-9697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0047321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02483
BLUE CROSS BLUE SHIELD
—
01
—
0481019
UNITED PROVIDER NO
—
01
—
1467046
CIGNA PROVIDER NO
—
05
—
261369700
—
FL
01
—
4045797
AETNA PROVIDER NO
—
Enumeration date
03/31/2006
Last updated
09/22/2009
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