Individual
DANY EDWARD GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 SWIFT BLVD., RICHLAND, WA 99352
(509) 946-4611
(509) 942-2785
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 946-4611
(509) 942-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00048902
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD00048902
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
L&I KRMC GROUP NUMBER
WA
05
—
1114114014
—
WA
Enumeration date
09/25/2007
Last updated
08/27/2019
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