Provider Demographics
NPI:1609168707
Name:KANJ, RULA VENUS (MD)
Entity Type:Individual
Prefix:DR
First Name:RULA
Middle Name:VENUS
Last Name:KANJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 NORTHERN BLVD FL 5
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3054
Mailing Address - Country:US
Mailing Address - Phone:516-390-9242
Mailing Address - Fax:516-390-9251
Practice Address - Street 1:1554 NORTHERN BLVD FL 5
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3054
Practice Address - Country:US
Practice Address - Phone:516-390-9242
Practice Address - Fax:516-390-9251
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.126147207VG0400X
NY390200000X
NY320760207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program