Individual
KADHIM AL BANAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9333 GENESEE AVE STE 310, SAN DIEGO, CA 92121-2111
(858) 657-5281
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351043144
MI
207RH0003X
Hematology & Oncology Physician
Primary
A170000
CA
Other
Enumeration date
06/16/2017
Last updated
11/12/2025
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