Individual provider · Type 1 NPI
Anoulla Ghannam
Specialist · Oakland, CA
NPI number
1609264928
Active
Practice location
4331 Piedmont Ave
Oakland, CA 94611-4715
Mailing address
30 Ocean Grove Ave
Daly City, CA 94015-3734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | L8455 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1609264928
Anoulla Ghannam's National Provider Identifier is 1609264928, issued on Jan 8, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Jan 8, 2015.