Ivan T Kanno, MD - Emergency Medicine in Indian Wells, CA

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.

Contact Information

Ivan T Kanno, MD
74785 Highway 111, Suite 100,
Indian Wells, CA 92210
(330) 493-4443
(330) 493-8677



Physician's Profile

Full NameIvan T Kanno
GenderMale
SpecialityEmergency Medicine
Location74785 Highway 111, Indian Wells, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  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.
IdentifierTypeStateIssuer
1053475061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency 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 AddressPractice 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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Emergency Medicine Doctors in Indian Wells, CA

Dr. Michael Joseph Groban, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 76158 Via Montelena, Indian Wells, CA 92210
Phone: 760-341-6703    

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