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Organization
MOHAMED FAROUK KANAA M.D., INC.
Active
Organization
MOHAMED FAROUK KANAA M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED FAROUK KANAA M.D. (PHYSICIANOWNER)
(405) 752-0871
Entity
Organization
Contact information
Practice address
13301 N MERIDIAN AVE, BUILDING 500, SUITE 501, OKLAHOMA CITY, OK 73120-9369
(405) 752-0871
(405) 755-9510
Mailing address
13301 N MERIDIAN AVE, BUILDING 500, SUITE 501, OKLAHOMA CITY, OK 73120-9369
(405) 752-0871
(405) 755-9510
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735300A
—
OK
01
—
CI4545
RAILROAD MEDICARE GROUP #
OK
Enumeration date
10/02/2006
Last updated
06/17/2008
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