Ejo Mannaparambil John MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EJO MANNAPARAMBIL JOHN MD PLLC

Practice address

3217 Grayson Lake CT
Las Vegas, NV 89129-6614

Phone

(773) 709-7530

NPI assigned

Apr 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ejo John

Title

President

Phone

(773) 709-7530

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1225658982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 GRAYSON LAKE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 GRAYSON LAKE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296614",
            "telephone_number": "773-709-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJO MANNAPARAMBIL JOHN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "EJO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-709-7530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ejaz Kamboj, MD, Inc.
• Ejine Okoroafor M D LTD
• Chima Ejiofor
• Olive O Ejiofor, RN
• Vivien Amarachi Ejiofor
• Amenbisayo Ekawele
• Chioma Urenna Ekeh
• Obiageri Thelma Ekeh, MD
• Ike Michael Ekekwe, FNP
• Yanira Ekert

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.