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

Tadge M Kanjo, MD

Individual provider Specialist · NPI 1710970058

Tadge M Kanjo, MD is a Specialist in Evanston, Wyoming. Licensed in Wisconsin and Wyoming. Registered with an NPI since 2005.

Licensed in
WI, WY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

196 Arrowhead Dr Ste 6
Evanston, WY 82930-8752
Phone: (307) 783-8398
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 TL1909 (WY)
Specialist Taxonomy 174400000X · Licence 41467-020 (WI)
Surgery Physician Taxonomy 208600000X · Licence 41467-020 (WI)

Record details

NPI number1710970058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESSeptember 12, 2012

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