Individual
DR. DANNY BASEL GHANNOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(540) 344-3668
(540) 774-4615
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540
(866) 386-8526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PENDING
MA
Other
Enumeration date
03/25/2022
Last updated
01/22/2025
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