Individual
IRAN KANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 STEVENS ST, PHILADELPHIA, PA 19149-3533
(215) 939-7777
Mailing address
3070 BRISTOL PIKE, BUILDING 2, SUITE 214, BENSALEM, PA 19020
(215) 939-7777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
38923601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3892
MEDICARE
—
Enumeration date
12/27/2018
Last updated
12/23/2023
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