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Individual

FADY MICHAEL KALDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 UCLA MEDICAL PLZ STE 214, LOS ANGELES, CA 90095-7002
(310) 825-1645
(310) 206-4197
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
A89880
CA
208600000X
Surgery Physician
A89880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A898800
CA
Enumeration date
04/14/2008
Last updated
12/30/2019
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