| Mohamed Al Kanjo, MD | |
|
100 N Academy Ave, Danville, PA 17822-9800 | |
| (570) 271-8091 | |
| (570) 271-5879 |
| Full Name | Mohamed Al Kanjo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871089409 | NPI | - | NPPES |
| 20200707765333 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD479327 (Pennsylvania) | Primary |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed Al Kanjo, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-8091 | Mohamed Al Kanjo, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-8091 |
Maura Elizabeth Gable, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 | |
Dr. Emily M. Feldmann, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5600 Fax: 570-271-5851 | |
Okiemute Beatrice Omoru, Pediatrics Medicare: Medicare Enrolled Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-5600 | |
Dr. Swathi Mannava Gowtham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 Fax: 570-271-6002 | |
Dr. Carlos R. Perez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6266 | |
Dr. Mahmoud T. Sabri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6052 | |
Dr. Bonnie A. Salbert, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6440 Fax: 570-271-6002 |