Provider Demographics
NPI:1184674541
Name:TADROS, TALAAT S (MD)
Entity Type:Individual
Prefix:
First Name:TALAAT
Middle Name:S
Last Name:TADROS
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:GRADY MEMORIAL HOSPITAL
Mailing Address - Street 2:8N JESSE HILL DR., RM. CG-20
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-616-7438
Mailing Address - Fax:404-616-9084
Practice Address - Street 1:GRADY MEMORIAL HOSPITAL
Practice Address - Street 2:8N JESSE HILL DR., RM. CG-20
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-616-7438
Practice Address - Fax:404-616-9084
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA031184207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF33430Medicare UPIN