Canady, Jerome

Canady, Jerome is an individual health care provider with primary practice located at 106 Irving St Nw Suite 406, Washington DC 20010-2927. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Canady, Jerome can be contacted via phone (202) 877-0532.

Contact Information

Primary practice address
106 Irving St Nw Suite 406 Washington DC 20010-2927
Phone: (202) 877-0532
Fax: (412) 877-9088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 14115 District of Columbia
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 14115 District of Columbia
Allopathic & Osteopathic Physicians / Surgery 208600000X 14115 District of Columbia

Profile Details

NPI number 1467504415
LBN Legal business name Canady, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467504415 NPPES
Pennsylvania MEDICAID 101963446002

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