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Individual
JACK C KADEMIAN
Active
Individual
JACK C KADEMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35875
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454769
—
IA
01
—
38058
WELLMARK BCBS
IA
Enumeration date
12/15/2005
Last updated
05/02/2025
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