| Nicholas Tadros, DO | |
|
30 N Mario Capecchi Dr, Salt Lake City, UT 84108 | |
| (801) 587-7572 | |
| Not Available |
| Full Name | Nicholas Tadros |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 30 N Mario Capecchi Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932849346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 345264 (Louisiana) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 14263053-1204 (Utah) | Primary |
| Entity Name | Louisiana State University School of Med in New Orleans Faculty Grou |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932492626 PECOS PAC ID: 9739358722 Enrollment ID: O20110810000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Tadros, DO 30 N Mario Capecchi Dr, Salt Lake City, UT 84108 Ph: (801) 587-7572 | Nicholas Tadros, DO 30 N Mario Capecchi Dr, Salt Lake City, UT 84108 Ph: (801) 587-7572 |
Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401 |
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943 |
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 |
Anne Smazal, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 295 S Chipeta Way Ste 15, Salt Lake City, UT 84108 Phone: 801-587-7400 |
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000 |
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121 |
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588 |