Reda M Tadros M D Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A84859 Issued in CA

Legal business name

REDA M TADROS M D INC

Practice address

115 W E St
Tehachapi, CA 93561-1607

Phone

(661) 823-3000

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Reda M Tadros, MDNPI 1225168032

Title

President

Phone

(661) 823-3000

Specialties & licenses 1

Addresses

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 Tadros, MD, Inc

  • Clinical Pathology Physician
  • Barstow, CA
  • NPI 1407187172
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reda Michael Tadros, M.D.

  • Cytopathology Physician
  • Los Angeles, CA
  • NPI 1225168032

  Anatomic Pathology & Clinical Pathology

  NPD (past) Authorized official

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1578883641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "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": "115 W E ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611607",
            "telephone_number": "661-823-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDA M TADROS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "REDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-823-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A84859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Doctors Inc.
• William Frederick Prewett, DDS
• Kelly Price
• Oscar Mauricio Quintanilla Jr.
• Tamie Renee Ramirez, PHARMACY TECHNICIAN
• Karena Frances Regan, P.A.
• Angela Michelle Reinhold, LCSW
• Jacqueline Reuter
• Mariana Revelo, MD
• Ana Reyna, MD

• Anatomic Pathology & Clinical Pathology Physician in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.