MEDICARE: ZIYAD HANNON, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	C40187	CA

General Provider Information

NPI Number	:	1962674390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIYAD HANNON, M.D.

Provider Business Mailing Address
First Line	:	2645 OCEAN AVENUE
Second Line	:	SUITE 309
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-1647
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2645 OCEAN AVENUE
Second Line	:	SUITE 309
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-1647
Country	:	US
Telephone Number	:	415-334-0999
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZIYAD HANNON
Credential	:
Telephone Number	:	415-334-0999

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	03/26/2008

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