Individual ProviderAnoulla GhannamSpecialistOther Service ProvidersPractice Address4331 Piedmont Ave, Oakland, CA 94611-4715(650) 315-5421PECOS EnrollmentBased on the most recent information from CMS, provider Anoulla Ghannam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1609264928Provider TypeIndividualFull NameGhannam, AnoullaGenderFemaleSole ProprietorYesEnumeration Date1/8/2015Last Updated1/8/2015Contact InformationPractice LocationPractice Address4331 Piedmont Ave, Oakland, CA 94611-4715Phone(650) 315-5421FaxUnlisted FaxMailing LocationMailing Address30 Ocean Grove Ave, Daly City, CA 94015-3734Phone(650) 315-5421FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseL8455California