Active NPI
Kanagasab Deva Caanthan, MD
- Specialist
- Ft Myers, FL
National Provider Identifier
1306898044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 26880
- Practice address
- 7981 Gladiolus Drive
Ft Myers, FL 33908 - Phone
- (239) 939-0999
- Fax
- (239) 425-0795
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 26880 | FL | Primary |
Addresses
Primary practice location
7981 Gladiolus Drive
Ft Myers, FL 33908
Mailing address
7981 Gladiolus Drive
Ft Myers, FL 33908
Phone (239) 939-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57407400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 26880 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1306898044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DRIVE",
"city": "FT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "239-939-0999",
"fax_number": "239-425-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DRIVE",
"city": "FT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "239-939-0999",
"fax_number": "239-425-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVA CAANTHAN",
"first_name": "KANAGASAB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME 26880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57407400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.