| Mr Emmanuel Kanjo, CRNA | |
|
137 Watkins Station Cir, Apt.f, Gaithersburg, MD 20879-3345 | |
| (301) 590-2633 | |
| Not Available |
| Full Name | Mr Emmanuel Kanjo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 137 Watkins Station Cir, Gaithersburg, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689905903 | NPI | - | NPPES |
| 031353000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R128473 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN67916 (District Of Columbia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Washington Hospital Center | Washington, DC | Hospital |
| Johns Hopkins Bayview Medical Center | Baltimore, MD | Hospital |
| Sibley Memorial Hospital | Washington, DC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johns Hopkins University | 8921903147 | 2699 |
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Surgical Anesthesia Associates Pllc | 5890739205 | 95 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Emmanuel Kanjo, CRNA 137 Watkins Station Cir, Apt.f, Gaithersburg, MD 20879-3345 Ph: (301) 590-2633 | Mr Emmanuel Kanjo, CRNA 137 Watkins Station Cir, Apt.f, Gaithersburg, MD 20879-3345 Ph: (301) 590-2633 |
Avis G Marleau-webb, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 113 Ellington Blvd, Apt 539, Gaithersburg, MD 20878 Phone: 215-796-4827 | |
Mr. Brent Michael Mcduffie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 Timberbrook Ln Apt 303, Gaithersburg, MD 20878 Phone: 757-581-5892 |