Individual
DR. MOHAMMAD S KANAKRIYEH
Active
Individual
DR. MOHAMMAD S KANAKRIYEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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