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NPI Code Detail

MEDICARE: DR. VLADIMIR REDKO M.D.

MEDICARE: DR. VLADIMIR REDKO M.D.
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
1174400000XSpecialistJ1366TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18U8110OTHERTXBCBS PROVIDER ID #

General Provider Information

NPI Number : 1306844659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VLADIMIR REDKO M.D.
Provider Business Mailing Address
First Line : 6560 FANNIN ST
Second Line : SUITE 2020
City : HOUSTON
State : TX
Zip : 77030-2761
Country : US
Telephone Number : 713-790-1400
Fax Number : 713-790-7851
Provider Business Practice Location Address
First Line : 6560 FANNIN ST
Second Line : SUITE 2020
City : HOUSTON
State : TX
Zip : 77030-2761
Country : US
Telephone Number : 713-790-1400
Fax Number : 713-790-7851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/09/2007

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Directions to “ DR. VLADIMIR REDKO M.D.” Practice Location

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