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NPI Code Detail

MEDICARE: DR. ZAYDE RADWAN MD

MEDICARE: DR. ZAYDE RADWAN 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
1207X00000XOrthopaedic Surgery PhysicianDR.0060388CO
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianR8653TX

General Provider Information

NPI Number : 1154686038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZAYDE RADWAN MD
Provider Business Mailing Address
First Line : 10905 MEMORIAL HERMANN DR STE 130
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3773
Country : US
Telephone Number : 713-486-6032
Fax Number : 713-486-6049
Provider Business Practice Location Address
First Line : 10905 MEMORIAL HERMANN DR STE 130
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3773
Country : US
Telephone Number : 713-486-6032
Fax Number : 713-486-6049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2012
Last Update Date : 09/23/2019

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Directions to “ DR. ZAYDE RADWAN MD” Practice Location

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