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NPI Code Detail

MEDICARE: DR. ERNEST OJI KANU M.D.

MEDICARE: DR. ERNEST OJI KANU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineMD00043690WA
2207R00000XInternal Medicine PhysicianMD00043690WA

General Provider Information

NPI Number : 1437261179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERNEST OJI KANU M.D.
Provider Business Mailing Address
First Line : 827 N 48TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-2405
Country : US
Telephone Number : 509-966-0575
Fax Number :
Provider Business Practice Location Address
First Line : 602 E NOB HILL BLVD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-3534
Country : US
Telephone Number : 509-248-3334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/12/2016

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