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Organization
NIRMALA KANNAN M.D. A PROFESSIONAL CORPORATION
Active
Organization
NIRMALA KANNAN M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRMALA KANNAN M.D. (OWNER)
(650) 574-3778
Entity
Organization
Contact information
Practice address
1090 LA PLAYA DR, HAYWARD, CA 94545-2142
(510) 785-5555
(510) 280-3116
Mailing address
PO BOX 4760, FOSTER CITY, CA 94404-0760
(650) 574-3778
(650) 574-0353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A52786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527860
—
CA
Enumeration date
10/19/2006
Last updated
06/10/2010
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