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Individual

FADI V BEDROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1133 COLLEGE AVE, BUILDING B, SUITE 100, MANHATTAN, KS 66502-2770
(785) 565-9500
(785) 565-9595
Mailing address
1133 COLLEGE AVE, BUILDING B, SUITE 100, MANHATTAN, KS 66502-2770
(785) 565-9500
(785) 565-9595

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-32696
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2568592
OH
Enumeration date
06/01/2006
Last updated
06/17/2016
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