Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tadge Kanjo General Surgery LLC

Organization Surgery Physician · NPI 1619237625

Tadge Kanjo General Surgery LLC is a Surgery Physician in Evanston, Wyoming. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

196 Arrowhead Dr Ste 6
Evanston, WY 82930-8752
Phone: (307) 783-8361
Fax: (307) 783-8399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD2012-0060 (NM)

Record details

NPI number1619237625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tadge Kanjo — Sole Mbr · (505) 246-6910
Other names Atomic City Surgery
NPI enumeratedMay 23, 2012
Last updated in NPPESApril 30, 2013
Mailing address196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752

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