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

Nya Anwanane, MD

Individual provider Family Medicine Physician · NPI 1174217905

Nya Anwanane, MD is a Family Practice in Carbondale, Illinois. Qualified in 2017, 9 years ago. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 W Oak St Ste 200
Carbondale, IL 62901-1400
Phone: (618) 536-6621
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125082195 (IL)

Record details

NPI number1174217905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address300 W Oak St, Carbondale, IL 62901-1400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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