Wagdy B Tadros (NPI# 1114952413, PAC ID# 5496731275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114952413 |
| PAC ID by PECOS | 5496731275 |
| Professional Enrollment ID | I20041104000793 |
| Full Name | Wagdy B Tadros |
| Address |
4469 N State Rd Suite 7 Lauderdale Lakes FL 33319-5876 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4469 N State Rd, Suite 7, Lauderdale Lakes, FL 33319-5876 |
| Street Address |
4469 N STATE RD SUITE 7 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip | 33319-5876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Gregorio Aguilar | Nurse Practitioner | Henderson Behavioral Health, Inc. | 4700 N State Rd, Suite 7, Lauderdale Lakes, FL 33319 |
| Patricia C Perez | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Shahrad Mabourakh | Internal Medicine | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Matthew Jay Wolland | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Sandra Stone Sundel | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Frances M Krohn | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Sheldon H Kreda | Optometry | 7020 W Commercial Boulevard, Lauderhill, FL 33319-2122 | |
| Janet Gorfain | Clinical Social Worker | 6635 W Commercial Blvd, Suite 105, Tamarac, FL 33319-2141 | |
| Ibiza Nevares | Physical Medicine and Rehabilitation | 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319-2147 | |
| Herbert R Slavin | Internal Medicine | 7200 W Commercial Blvd, Suite 210, Lauderhill, FL 33319-2148 | |
| Find all physicians in zip 33319 | |||
| City | LAUDERDALE LAKES |
| Zip Code | 33319 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAUDERDALE LAKES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wagdy B Tadros.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.