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Individual

DR. IYAD K RADWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
411 PARK GROVE, SUITE #620, KATY, TX 77450-1576
(832) 645-4038
(832) 675-9861
Mailing address
P.O. BOX 42453, HOUSTON, TX 77242-2453
(832) 620-3282
(832) 675-9861

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N9481
TX
208D00000X
General Practice Physician
N9481
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N9481
TX

Other

Enumeration date
05/06/2011
Last updated
05/05/2016
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