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TADGE M KANJO M.D. NPI 1710970058


NPI Information

NPI: 1710970058
Provider Name: TADGE M KANJO, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
196 ARROWHEAD DR
SUITE 6
EVANSTON, WY
ZIP 82930
Phone: (307) 783-8398
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Tadge M Kanjo, M.D. is a surgery in Evanston, WY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Tadge M Kanjo, M.D. NPI is 1710970058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

196 ARROWHEAD DR
SUITE 6
EVANSTON, WY
ZIP 82930-752
Phone: (307) 783-8398
Fax: (307) 783-8399

The enumeration date for this NPI number is 8/23/2005 and was last updated on 9/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist41467-020WISCONSINNo
2208600000XSurgery41467-020WISCONSINNo
3208600000XSurgeryTL1909WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133338100MEDICAIDWISCONSIN
2H22053MEDICARE UPIN
322235MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.