Kanakriyeh, Mohammad S

Kanakriyeh, Mohammad S is an sole proprietor health care provider with primary practice located at 350 E Vanderbilt Way Ste A, San Bernardino CA 92408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Kanakriyeh, Mohammad S can be contacted via phone (909) 886-5200.

Contact Information

Primary practice address
350 E Vanderbilt Way Ste A San Bernardino CA 92408
Phone: (909) 886-5200
Fax: (909) 382-9017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A42526 California

Profile Details

NPI number 1164512281
LBN Legal business name Kanakriyeh, Mohammad S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Feb 12th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164512281 NPPES
California Other 330698865 BLUE CROSS
California MEDICAID 00A425260 BLUE CROSS
California Other ZZZ51351Z BLUE CROSS

Popular Providers