Individual
DR. VIC KADYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N CURTIS RD, STE 202, BOISE, ID 83706
(208) 377-3435
(208) 377-3147
Mailing address
1000 N CURTIS RD, STE 202, BOISE, ID 83706-1346
(208) 377-3435
(208) 377-3147
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M9112
ID
225400000X
Rehabilitation Practitioner
M9112
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806876700
—
ID
Enumeration date
05/24/2005
Last updated
08/13/2018
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