Provider Demographics
NPI:1700545779
Name:KAHANA OCULOPLASTIC SURGERY PLLC
Entity type:Organization
Organization Name:KAHANA OCULOPLASTIC SURGERY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ATTENDING SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ALON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:248-800-1177
Mailing Address - Street 1:39000 7 MILE RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1006
Mailing Address - Country:US
Mailing Address - Phone:248-800-1177
Mailing Address - Fax:248-800-1178
Practice Address - Street 1:39000 7 MILE RD STE 2400
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1006
Practice Address - Country:US
Practice Address - Phone:248-800-1177
Practice Address - Fax:248-800-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty