Suryabala Kanhouwa, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

MD025988 Issued in DC

Practice address

2700 Martin Luther King Jr Ave SE
St Elizabeth Hospital
Washington, DC 20032-2601

Phone

(202) 645-9770

Fax

(202) 645-9811

NPI assigned

Aug 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1376734004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING JR AVE SE",
            "address_2": "ST ELIZABETH HOSPITAL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "202-645-9770",
            "fax_number": "202-645-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING JR AVE SE",
            "address_2": "ST ELIZABETH HOSPITAL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322601",
            "telephone_number": "202-645-9770",
            "fax_number": "202-645-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANHOUWA",
        "first_name": "SURYABALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MD",
            "license": "DO014311",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "DC",
            "license": "MD025988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Ji Kang, NP
• Jude Kangai
• Cathy Kangale-Whitney
• Solomon Ekane Kange
• Eucharia Nsanglii Kangson
• Alyssa Jeannette Kania, MD
• Manasa Kanithi, DO
• Collecte Balong Kanjang, HHA
• Kiran Kumar Kanjerla, MD
• Jadon Kankel

• Clinical Pathology/Laboratory Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Pathology/Laboratory Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.