Mutombo Kankonde (NPI# 1831257831, PAC ID# 7517096373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1831257831 |
| PAC ID by PECOS | 7517096373 |
| Professional Enrollment ID | I20111229000070 |
| Full Name | Mutombo Kankonde |
| Address |
3028 Trawood Dr Suite A El Paso TX 79936-3948 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450107 | LAS PALMAS MEDICAL CENTER |
| 450002 | THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS |
| 450877 | FOUNDATION SURGICAL HOSPITAL OF EL PASO |
| 450024 | UNIVERSITY MEDICAL CENTER OF EL PASO |
| Address | Phone | Organization |
|---|---|---|
| 3028 Trawood Dr, Suite A, El Paso, TX 79936-3948 |
| Street Address |
3028 TRAWOOD DR SUITE A |
| City | EL PASO |
| State | TX |
| Zip | 79936-3948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanker S Sundrani | Neurosurgery | 3028 Trawood Dr, Suite C, El Paso, TX 79936-3948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Alejandro Padilla Jr. | Family Medicine | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
| Maria I Padilla | Nurse Practitioner | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
| John Patterson | Family Medicine | 11680 Pebble Hills Blvd, Suite 109, El Paso, TX 79936-1091 | |
| Lorenzo L Nichols Ii | Optometry | Gammoh Premier Vision LLC | 1830 Joe Battle Blvd, Suite 101, El Paso, TX 79936-1146 |
| Hector Lopez | Family Medicine | 3130 N Lee Trevino Dr, Ste. 114, El Paso, TX 79936-2179 | |
| Omar Gonzalez-camarena | Internal Medicine | 1715 Saul Kleinfeld Dr, El Paso, TX 79936-3706 | |
| Vinson E Nance | Optometry | 11365 Montwood Dr, Suite D, El Paso, TX 79936-3867 | |
| Jose A Barahona | Internal Medicine | 11355 Montwood Dr, Suite A, El Paso, TX 79936-3883 | |
| Uzodinma Raphael Dim | Cardiovascular Disease (cardiology) | 2200 George Dieter Dr, El Paso, TX 79936-3915 | |
| Luis E Linan | Obstetrics/gynecology | 2400 Trawood Dr, Suite 304, El Paso, TX 79936-4122 | |
| Find all physicians in zip 79936 | |||
| City | EL PASO |
| Zip Code | 79936 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | EL PASO + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Mutombo Kankonde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.