Individual
MOHAMMED NAWAF KANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 S MERIDIAN STE 200, PUYALLUP, WA 98373-1659
(253) 428-8700
Mailing address
1624 S I ST, TACOMA, WA 98405-5016
(253) 428-8700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31990
MT
207RH0003X
Hematology & Oncology Physician
31990
MT
207RH0003X
Hematology & Oncology Physician
Primary
60959822
WA
Other
Enumeration date
08/17/2009
Last updated
06/14/2021
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