Kanaan, Usama B
Kanaan, Usama B is an sole proprietor health care provider with primary practice located at 1400 Tullie Rd Ne Ste 630 , Atlanta GA 30329-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Kanaan, Usama B can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
1400 Tullie Rd Ne Ste 630
Atlanta GA 30329-2309
Phone: (404) 256-2593
Fax: (678) 547-1494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 060648 | Georgia |
Profile Details
| NPI number | 1164692174 |
|---|---|
| LBN Legal business name | Kanaan, Usama B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Jan 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164692174 | NPPES |
| Georgia | MEDICAID | 367158412H |
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