Organization Active NPI

Mohamed Farouk Kanaa M.D., Inc.

  • Hematology & Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1306939822
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MOHAMED FAROUK KANAA M.D., INC.
Practice address
13301 N Meridian Ave
Building 500, Suite 501
Oklahoma City, OK 73120-9369
Phone
(405) 752-0871
Fax
(405) 755-9510
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed Farouk Kanaa, M.D.
Title
Physicianowner
Phone
(405) 752-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

13301 N Meridian Ave
Building 500, Suite 501
Oklahoma City, OK 73120-9369

Mailing address

13301 N Meridian Ave
Building 500, Suite 501
Oklahoma City, OK 73120-9369
Phone (405) 752-0871

Other identifiers 2

IdentifierTypeStateIssuer
100735300AMedicaidOK
CI4545OtherOKRAILROAD MEDICARE GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1306939822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "BUILDING 500, SUITE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE",
            "address_2": "BUILDING 500, SUITE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209369",
            "telephone_number": "405-752-0871",
            "fax_number": "405-755-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED FAROUK KANAA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KANAA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "FAROUK",
        "authorized_official_title_or_position": "PHYSICIANOWNER",
        "authorized_official_telephone_number": "405-752-0871",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735300A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CI4545",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.