| Oakland Medical Llc | |
|
1 Clara Maass Dr Belleville NJ 07109-3550 | |
| (973) 615-4797 | |
| Not Available |
| Full Name | Oakland Medical Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Clara Maass Dr, Belleville, New Jersey |
| Authorized Official Name and Position | Mohammed Kananeh (OWNER) |
| Authorized Official Contact | 9736154797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Medical Llc 12 Princeton Ter Oakland NJ 07436-3518 Ph: (973) 615-4797 | Oakland Medical Llc 1 Clara Maass Dr Belleville NJ 07109-3550 Ph: (973) 615-4797 |
| NPI Number | 1831887652 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 3476919127 |
|---|---|
| Medicare Enrollment ID | O20230522003429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831887652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mohammed Kananeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497173454 PECOS PAC ID: 5193940138 Enrollment ID: I20200601000057 |
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