Provider Demographics
NPI:1861576126
Name:KAHN, MADELYN IRENE (MD)
Entity type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:IRENE
Last Name:KAHN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:18701 TIFFENI DR
Mailing Address - Street 2:STE 1-A
Mailing Address - City:TWAIN HARTE
Mailing Address - State:CA
Mailing Address - Zip Code:95383-9406
Mailing Address - Country:US
Mailing Address - Phone:800-404-1100
Mailing Address - Fax:209-586-6748
Practice Address - Street 1:390 LAUREL ST
Practice Address - Street 2:#301
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1980
Practice Address - Country:US
Practice Address - Phone:415-749-1939
Practice Address - Fax:415-749-1312
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2010-11-07
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Provider Licenses
StateLicense IDTaxonomies
CAG52531207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE24918Medicare UPIN
CA00G525310Medicare PIN