Individual
VADIM SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41407
TX
208600000X
Surgery Physician
Primary
M6393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182083901
—
TX
05
—
182083902
—
TX
05
—
182083903
—
TX
05
—
182083904
—
TX
01
—
1821028267
BLUE CROSS BLUE SHIELD
TX
01
—
8AC478
BCBS
TX
01
—
8CL382
BCBS
TX
01
—
8DY890
BLUE CROSS BLUE SHIELD
TX
01
—
P00993704
RR MEDICARE
TX
01
—
P01061315
RR MEDICARE
TX
Enumeration date
07/03/2006
Last updated
01/17/2017
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