Individual
MR. ZAYAN ANIS KANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
231 SE BARRINGTON DRIVE, SUITE 209, OAK HARBOR, WA 98277
(360) 679-3161
(360) 679-1741
Mailing address
231 SE BARRINGTON DRIVE, SUITE 209, OAK HARBOR, WA 98277
(360) 679-3161
(360) 679-1741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031262
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110130199
RAILROAD MEDICARE
WA
01
—
52525
BLUE CROSS/SHIELD
WA
01
—
S57923
BLUE CROSS/SHIELD
—
Enumeration date
12/02/2005
Last updated
02/21/2011
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