Provider Demographics
NPI:1144412560
Name:KANAAN, ZEYAD HASHEM (MD)
Entity Type:Individual
Prefix:
First Name:ZEYAD
Middle Name:HASHEM
Last Name:KANAAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 W EL CAMINO REAL FL 2
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-6203
Mailing Address - Country:US
Mailing Address - Phone:707-521-7750
Mailing Address - Fax:707-573-5427
Practice Address - Street 1:3883 AIRWAY DR STE 220
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403
Practice Address - Country:US
Practice Address - Phone:707-521-7750
Practice Address - Fax:707-573-5427
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930083207R00000X, 207RH0000X, 207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA157617OtherSTATE MEDICAL LICENSE
CAFK2083183OtherFEDERAL DEA LICENSE
IN201227530A (KOHMG)Medicaid
OH3074686Medicaid
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH3600271OtherAKRON GENERAL MEDICAL CENTER MEDICARE GROUP #
KY7100245600 (KOHMG)Medicaid
OH0454744OtherAGMC/INTERNAL MEDICINE CENTER OF AKRON GROUP MEDICAID #
IN201227530A (KOHMG)Medicaid