Individual
DR. IRENE KAZHDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 614-8740
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 994-5411
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
M0776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166147204
—
TX
05
—
166147206
—
TX
01
—
P01547635
RAILROAD MEDICARE
TX
Enumeration date
05/27/2005
Last updated
02/26/2018
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