Provider Demographics
NPI:1881659019
Name:NJAPA, ANTHONY KECHANTE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:KECHANTE
Last Name:NJAPA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6436
Mailing Address - Country:US
Mailing Address - Phone:910-793-4311
Mailing Address - Fax:910-793-4322
Practice Address - Street 1:1444 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6436
Practice Address - Country:US
Practice Address - Phone:910-793-4311
Practice Address - Fax:910-793-4322
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00122208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5907797Medicaid
NC5907797Medicaid