Reda Tadros, MD, Inc

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

05D0573118 Issued in CA

Legal business name

REDA TADROS, MD, INC

Practice address

555 S 7TH Ave
Barstow, CA 92311-3043

Phone

(805) 578-8300

Fax

(805) 578-3911

NPI assigned

Jan 20, 2010

Last updated

Jan 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Reda Tadros, MD

Title

President

Phone

(760) 245-8691

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Reda M Tadros MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reda M Tadros M D Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Tehachapi, CA
  • NPI 1578883641
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1407187172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 7TH AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113043",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDA TADROS, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-245-8691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "CA",
            "license": "05D0573118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0573118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortney Rasplicka, MA, PPS
• Ravindra Gautam, M.D., Inc.
• Ravindra Gautam, M.D., Inc. (Ravindra Gautam MD)
• Sabrina Rebuck, OTR/L
• Elizabeth Janine Reckner
• Bommireddy Vishwas Reddy, ND
• Kenyanda Sharie Reddy
• Louis C Redix Jr., MD
• Monica Reyes
• Karen Ann Richardt, DDS

• Clinical Pathology Physician in Barstow, CA
• Providers in Barstow, CA by specialty
• Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.