Provider Demographics
NPI:1588809446
Name:ZANJANI, SAEED KANANI (MD)
Entity type:Individual
Prefix:
First Name:SAEED
Middle Name:KANANI
Last Name:ZANJANI
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 1:2741 NORTH VISTA HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1758
Mailing Address - Country:US
Mailing Address - Phone:714-637-4485
Mailing Address - Fax:
Practice Address - Street 1:2741 NORTH VISTA HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-1758
Practice Address - Country:US
Practice Address - Phone:714-637-4485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33947207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1619980901Medicaid
MI4301031252OtherLICENSE NO
MI4301031252OtherLICENSE NO
110F318370Medicare PIN