National Provider Identifier Database

MOHAMMAD S KANAKRIYEH, MD – NPI #1164512281
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

MOHAMMAD S KANAKRIYEH, MD
350 E VANDERBILT WAY
STE A
SAN BERNARDINO, CA92408
Phone: 909-886-5200
Fax: 909-382-9017
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for MOHAMMAD S KANAKRIYEH

NPI Number 1164512281
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 02/12/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A42526
  • CA Medicaid: 00A425260
  • CA Other: 330698865 BLUE CROSS
  • CA Other: ZZZ51351Z BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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