| Nirmala Kannan M.d. A Professional Corporation | |
|
1090 La Playa Dr Hayward CA 94545-2142 | |
| (510) 785-5555 | |
| (510) 280-3116 |
| Full Name | Nirmala Kannan M.d. A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1090 La Playa Dr, Hayward, California |
| Authorized Official Name and Position | Nirmala Kannan (OWNER) |
| Authorized Official Contact | 6505743778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirmala Kannan M.d. A Professional Corporation Po Box 4760 Foster City CA 94404-0760 Ph: (650) 574-3778 | Nirmala Kannan M.d. A Professional Corporation 1090 La Playa Dr Hayward CA 94545-2142 Ph: (510) 785-5555 |
| NPI Number | 1174605158 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174605158 | NPI | - | NPPES |
| 00A527860 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52786 (California) | Primary |
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