Individual
DR. WAGDY WILLIAM KADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD STE 775, LOS ANGELES, CA 90017-4881
(213) 484-5397
(213) 484-9584
Mailing address
1245 WILSHIRE BLVD STE 775, LOS ANGELES, CA 90017-4881
(213) 484-5397
(213) 484-9584
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A56293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00073212
MEDICARE RAILROAD
CA
01
—
00A562930
BLUE SHIELD
CA
05
—
00A562930
—
CA
01
—
11003054
CAOH PROVIDER NUMBER
CA
01
—
12062138
M ULTI-PLAN
CA
01
—
2224551
CCN PROVIDER NUMBER
CA
01
—
5033747
AETNA PROVIDER NUMBER
CA
01
—
5444347
CCN PROVIDER NUMBER
CA
01
—
731689515
PPO NEXT
CA
01
—
8005463887
UNITED HEALTH CARE (NEW )
CA
Enumeration date
06/10/2006
Last updated
09/03/2020
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