Ivan T Kanno, MD is a
Emergency Medicine physician based in Indian Wells, California. Ivan T Kanno is licensed to practice in California (license number G40555) and his current practice location is 74785 Highway 111, Suite 100, Indian Wells, California. He can be reached at his office (for appointments etc.) via phone at
(330) 493-4443.
NPI number for Ivan T Kanno is 1053475061 and his current mailing address is 4535 Dressler Rd Nw, Canton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053475061.
Physician's Profile
| Full Name | Ivan T Kanno |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 74785 Highway 111, Indian Wells, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053475061
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ivan T Kanno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053475061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | G40555 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan T Kanno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ivan T Kanno, MD
4535 Dressler Rd Nw,
Canton, OH 44718-2545
Ph: (330) 493-4443 | Ivan T Kanno, MD
74785 Highway 111, Suite 100,
Indian Wells, CA 92210
Ph: (330) 493-4443 |
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