Kannan, Nirmala

Kannan, Nirmala is an sole proprietor health care provider with primary practice located at 1090 La Playa Dr , Hayward CA 94545-2142. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kannan, Nirmala can be contacted via phone (510) 785-5555.

Contact Information

Primary practice address
1090 La Playa Dr Hayward CA 94545-2142
Phone: (510) 785-5555
Fax: (510) 280-3116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME129839 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A52786 California

Profile Details

NPI number 1114014172
LBN Legal business name Kannan, Nirmala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Jun 26th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114014172 NPPES
California MEDICAID 00A527860

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