Provider Demographics
NPI:1497957641
Name:KRANITZ, SHADI (MD)
Entity type:Individual
Prefix:
First Name:SHADI
Middle Name:
Last Name:KRANITZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5769 E SANTA ANA CANYON RD STE K
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-3233
Mailing Address - Country:US
Mailing Address - Phone:949-933-3997
Mailing Address - Fax:
Practice Address - Street 1:5769 E SANTA ANA CANYON RD STE K
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3233
Practice Address - Country:US
Practice Address - Phone:949-933-3997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1141242080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology