Provider Demographics
NPI:1538273552
Name:KANAAN, HASSAN ZAHI (MD)
Entity type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:ZAHI
Last Name:KANAAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HENRY
Other - Middle Name:ZAHI
Other - Last Name:KANAAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:901 N GALLOWAY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2493
Mailing Address - Country:US
Mailing Address - Phone:214-660-2580
Mailing Address - Fax:214-660-2585
Practice Address - Street 1:901 N GALLOWAY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2493
Practice Address - Country:US
Practice Address - Phone:214-660-2580
Practice Address - Fax:214-660-2585
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7437207PE0005X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H94082Medicare UPIN
8B1595Medicare ID - Type Unspecified