Provider Demographics
NPI:1942493747
Name:KANAAN, RALPH I (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:I
Last Name:KANAAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13313 N MERIDIAN AVE
Mailing Address - Street 2:BLDG D
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8380
Mailing Address - Country:US
Mailing Address - Phone:405-755-4290
Mailing Address - Fax:405-755-7773
Practice Address - Street 1:13313 N MERIDIAN AVE
Practice Address - Street 2:BLDG D
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8380
Practice Address - Country:US
Practice Address - Phone:405-755-4290
Practice Address - Fax:405-755-7773
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2014-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA39292207RC0200X, 207RP1001X
OK26190207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine