Individual
JOHN KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 664-2790
Mailing address
PO BOX 660940, ARCADIA, CA 91066-0940
(626) 447-0206
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A122316
CA
207Q00000X
Family Medicine Physician
21758
MS
207Q00000X
Family Medicine Physician
A122316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122316
MEDICAL LICENSE
CA
Enumeration date
06/24/2009
Last updated
12/22/2021
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