| Kannan Clinic, P.c. | |
|
5120 S Western Ave Ste. 104 Sioux Falls SD 57108-5013 | |
| (605) 271-3900 | |
| (605) 271-3902 |
| Full Name | Kannan Clinic, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5120 S Western Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Hari Dasan Kannan (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 6057281902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannan Clinic, P.c. 5120 S Western Ave Ste. 104 Sioux Falls SD 57108-5013 Ph: (605) 271-3900 | Kannan Clinic, P.c. 5120 S Western Ave Ste. 104 Sioux Falls SD 57108-5013 Ph: (605) 271-3900 |
| NPI Number | 1982640892 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779586060 |
|---|---|
| Medicare Enrollment ID | O20060804000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982640892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3486 (South Dakota) | Primary |
| Provider Name | Hari D Kannan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447222906 PECOS PAC ID: 1355354606 Enrollment ID: I20060803000249 |
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