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Contact Information

REDA TADROS, MD, INC
555 S 7TH AVE
BARSTOW, CA92311-3043
 Phone: 805-578-8300
 Fax: 805-578-3911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology

207ZC0006X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for REDA TADROS, MD, INC

NPI # 1407187172
LBN Legal business name REDA TADROS, MD, INC
Authorized official REDA TADROS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2010
Last updated 01/20/2010 - About 16 years ago
Identifiers
CA License # 05D0573118
CA Other 05D0573118 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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