Individual
HARVEY JAY KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 KEMPSVILLE RD, SUITE 200, NORFOLK, VA 23502-3800
(757) 461-6342
(757) 963-6158
Mailing address
885 KEMPSVILLE RD, SUITE 200, NORFOLK, VA 23502-3800
(757) 461-6342
(757) 963-6158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101026429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006729274
—
VA
01
—
13261
OPTIMA HEALTH PLAN
—
01
—
233012
MAMSI HEALTH PLAN
—
01
—
250425
ANTHEM BCBS
—
01
—
4004705
AETNA
—
01
—
541778786
UNITED HEALTH CARE
—
01
—
5417787860400E
CIGNA HEALTH CARE
—
Enumeration date
05/06/2006
Last updated
12/12/2012
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