Organization
KANANI MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK KANANI MD (FOUNDER)
(707) 284-9200
Entity
Organization
Contact information
Practice address
175 CONCOURSE BLVD, SANTA ROSA, CA 95403-8217
(707) 284-9200
Mailing address
175 CONCOURSE BLVD, SANTA ROSA, CA 95403-8217
(707) 284-9200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
01/27/2021
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