| 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 | 17 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 |
|---|---|---|
| Johns Hopkins Bayview Medical Center | Baltimore, MD | Hospital |
| Medstar Washington Hospital Center | Washington, DC | Hospital |
| Sibley Memorial Hospital | Washington, DC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3729 |
| Surgical Anesthesia Associates Pllc | 5890739205 | 91 |
| Johns Hopkins University | 8921903147 | 2891 |
| Entity Name | Greenbelt Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548216450 PECOS PAC ID: 6002710720 Enrollment ID: O20031124000800 |
| Entity Name | Washington Hospital Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173 |
| Entity Name | Surgical Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20050616000610 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
| 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 |