Individual
DR. MOHAMMAD S KANAKRIYEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 E VANDERBILT WAY, STE A, SAN BERNARDINO, CA 92408
(909) 886-5200
(909) 382-9017
Mailing address
350 E VANDERBILT WAY, STE A, SAN BERNARDINO, CA 92408
(909) 886-5200
(909) 382-9017
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A42526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A425260
—
CA
01
—
330698865
BLUE CROSS
CA
01
—
ZZZ51351Z
BLUE SHIELD
CA
Enumeration date
10/13/2006
Last updated
02/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us