Individual provider · Type 1 NPI

Max Mahmoud Ghannadi, MD

General Practice Physician · Van Nuys, CA

NPI number 1114191798 Active

Practice location

14103 Victory Blvd, Suite 7
Van Nuys, CA 91304-3863

Fax (818) 988-2949

Mailing address

23679 Calabasas Rd # 327
Calabasas, CA 91302-1502

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA102618 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1114191798

Max Mahmoud Ghannadi, MD's National Provider Identifier is 1114191798, issued on Apr 15, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Van Nuys, CA. The record was last updated on Oct 4, 2010.