Provider Demographics
NPI:1669710240
Name:DOH, EDITH KADOH (CRNA)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:KADOH
Last Name:DOH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:KADOH
Other - Last Name:DINGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:2 READS WAY
Mailing Address - Street 2:STE 201
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1630
Mailing Address - Country:US
Mailing Address - Phone:302-709-4709
Mailing Address - Fax:302-709-4551
Practice Address - Street 1:801 MIDDLEFORD ROAD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973
Practice Address - Country:US
Practice Address - Phone:302-629-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR155930367500000X
DEL6-0A00659367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1669710240Medicaid
DE1669710240Medicaid