Jess H Ghannam in Emeryville - Pain Medicine

Jess H Ghannam - NPI 1285790154

Jess H Ghannam is a Pain Medicine in Emeryville, California. Jess H Ghannam practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Jess H Ghannam is 1285790154. The last update date is 2012-09-05.

Jess H Ghannam's current location address is 1335 Stanford, Emeryville, California. You can contact this provider via phone number 5106475101 and fax number 5106475105. The mailing address for Jess H Ghannam is 1335 Stanford, Emeryville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jess H Ghannam
Address 1335 Stanford, Emeryville, California
Phone Number 5106475101
Fax Number 5106475105
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1285790154
Provider Enumeration Date 2006-12-28
Last Updated Date 2012-09-05

Provider Mailing Address Detail

Address 1335 Stanford
City Emeryville
State California (CA)
Post Code 946082536
Phone Number 5106475101
Fax Number 5106475105

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2084P2900X
Licence No PSY9261
Definition:
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ20562Z CA GROUP ID NUMBER

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FAQs about Jess H Ghannam

What is the unique 10-digit identifier code assigned to Jess H Ghannam by the Centers for Medicare & Medicaid Services?

The Jess H Ghannam has been issued the NPI (National Provider Identifier) 1285790154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jess H Ghannam?

The Jess H Ghannam is physically situated at 1335 Stanford, in the city of Emeryville, state of CA, with the postal code 946082536.

What is Jess H Ghannam's area of expertise and its corresponding taxonomy classification?

The Jess H Ghannam's field of specialization is Pain Medicine, and it falls under the taxonomy code 2084P2900X, which categorizes healthcare providers based on their areas of practice.

When was the Jess H Ghannam's 1285790154 issued?

The Jess H Ghannam's 1285790154 was issued on 2006-12-28.

As of what date was the information pertaining to Jess H Ghannam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jess H Ghannam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-05.

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