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General NPI Number Information
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NPI Number | 1225168032
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Entity Type | Individual
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Provider Name | REDA MICHAEL TADROS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | LAC-USC MEDICAL CENTER 1200 N. STATE STREET ,ROOM 2900
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City | LOS ANGELES
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-226-7148
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Fax |
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Provider Business Mailing Address
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Address Line | 3152 S BARRINGTON AVE APT G
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City | LOS ANGELES
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State | CA
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Zip | 90066-1147
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Country | US
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Telephone | 310-210-9880
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A84889
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | A84889
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License Number State | CA
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