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NPI Code Detail

MEDICARE: MICHAEL SEDRAK MD

MEDICARE:   MICHAEL  SEDRAK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0900XDermatopathology PhysicianBPI0037977TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianBP1 0037977TX
3207NI0002XClinical & Laboratory Dermatological Immunology PhysicianBPI0037977TX

General Provider Information

NPI Number : 1043539687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SEDRAK MD
Provider Business Mailing Address
First Line : 4550 POST OAK PLACE DR STE 340
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3167
Country : US
Telephone Number : 877-850-6009
Fax Number : 855-919-6009
Provider Business Practice Location Address
First Line : 4550 POST OAK PLACE DR STE 340
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3167
Country : US
Telephone Number : 877-850-6009
Fax Number : 855-919-6009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2010
Last Update Date : 01/20/2025

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