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NPI Code Detail

MEDICARE: ISABELLE KANEZA MD

MEDICARE:   ISABELLE  KANEZA  MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNC

General Provider Information

NPI Number : 1407792435
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLE KANEZA MD
Provider Business Mailing Address
First Line : PEDIATRIC EDUCATION OFFICE
Second Line : CAMPUS BOX 7593
City : CHAPEL HILL
State : NC
Zip : 27599-7593
Country : US
Telephone Number : 919-966-3172
Fax Number : 336-832-3152
Provider Business Practice Location Address
First Line : 301 E WENDOVER AVE STE 400
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-832-3150
Fax Number : 336-832-3152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “ ISABELLE KANEZA MD” Practice Location

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