Individual
DR. GEOFFREY S KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
6565 ARLINGTON BLVD, SUITE 200, FALLS CHURCH, VA 22042-3013
(703) 531-3627
(703) 531-1590
Mailing address
6565 ARLINGTON BLVD, SUITE 200, FALLS CHURCH, VA 22042-3013
(703) 531-3627
(703) 531-1590
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101260331
VA
2080P0207X
Pediatric Hematology & Oncology Physician
261866
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
04/26/2017
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