Individual
FRED KAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-6335
(916) 537-5000
(916) 851-2884
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G59494
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G59494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G594940
—
CA
Enumeration date
07/07/2006
Last updated
12/18/2012
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