Individual
DR. NIRMALA KANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 LA PLAYA DR, HAYWARD, CA 94545-2142
(510) 785-5555
(510) 280-3116
Mailing address
1507 S HIAWASSEE RD, STE 107, ORLANDO, FL 32835-5706
(650) 574-3778
(650) 574-0353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A52786
CA
208M00000X
Hospitalist Physician
Primary
ME129839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527860
—
CA
Enumeration date
10/09/2006
Last updated
06/26/2018
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