Active NPI
Kanu Kanu Nwankwo, LMRT
- Radiography Radiologic Technologist
- Houston, TX
National Provider Identifier
1598959355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 200519
- Practice address
- 11311 Bayou Place LN
Houston, TX 77099-4243 - Phone
- (832) 754-9499
- Fax
- (281) 530-1415
- NPI assigned
- Sep 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 200519 | TX | Primary |
Addresses
Primary practice location
11311 Bayou Place LN
Houston, TX 77099-4243
Mailing address
11311 Bayou Place LN
Houston, TX 77099-4243
Phone (832) 754-9499
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200519 | TX | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1598959355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11311 BAYOU PLACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994243",
"telephone_number": "832-754-9499",
"fax_number": "281-530-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11311 BAYOU PLACE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770994243",
"telephone_number": "832-754-9499",
"fax_number": "281-530-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANKWO",
"first_name": "KANU",
"middle_name": "KANU",
"name_prefix": "Mr.",
"credential": "LMRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "TX",
"license": "200519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.