Provider Demographics
NPI:1619089158
Name:KADIN, ALEXANDER W (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:W
Last Name:KADIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1806 AVENUE D STE 106
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1622
Mailing Address - Country:US
Mailing Address - Phone:713-876-0161
Mailing Address - Fax:281-391-6323
Practice Address - Street 1:23900 KATY FWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1323
Practice Address - Country:US
Practice Address - Phone:281-644-7111
Practice Address - Fax:281-644-7101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8067207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty