Individual
IKAY KANAYO ENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
(703) 391-3414
Mailing address
22 S GREENE ST, ANESTHESIOLOGY, S11C00, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101277980
VA
207L00000X
Anesthesiology Physician
283706
NY
207L00000X
Anesthesiology Physician
D0067749
MD
Other
Enumeration date
06/05/2008
Last updated
06/04/2023
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