Individual
DR. MOUHAMED KANNASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 934-2009
(808) 934-2041
Mailing address
73 PUUHONU PL, HILO, HI 96720-2060
(808) 934-2009
(808) 934-2041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13270
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000253609
HMSA BCBS
HI
05
—
569410
—
HI
Enumeration date
10/11/2006
Last updated
10/30/2007
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