Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Max Mahmoud Ghannadi, MD

Individual provider General Practice Physician · NPI 1114191798

Dr. Max Mahmoud Ghannadi, MD is a General Practice in Van Nuys, California. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14103 Victory Blvd Ste 7
Van Nuys, CA 91304-3863
Phone: (818) 994-0000
Fax: (818) 988-2949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A102618 (CA)

Record details

NPI number1114191798
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2008
Last updated in NPPESOctober 4, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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