Provider Demographics
NPI:1053391995
Name:KAHAN, KARA LIEBLING (MD)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LIEBLING
Last Name:KAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WESTCOTT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-9001
Mailing Address - Country:US
Mailing Address - Phone:713-864-6694
Mailing Address - Fax:713-864-6698
Practice Address - Street 1:550 WESTCOTT ST STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-9001
Practice Address - Country:US
Practice Address - Phone:713-864-6694
Practice Address - Fax:713-864-6694
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL74342084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175998701Medicaid
TX8J1424OtherBLUE CROSS BLUE SHIELD
I34331Medicare UPIN
TX8D7325Medicare ID - Type Unspecified
TX8J1424OtherBLUE CROSS BLUE SHIELD