Provider Demographics
NPI:1932228186
Name:KADI, JAMES STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVEN
Last Name:KADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 PETERS COLONY RD
Mailing Address - Street 2:SUITE # 320
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2949
Mailing Address - Country:US
Mailing Address - Phone:972-691-6500
Mailing Address - Fax:972-539-9378
Practice Address - Street 1:3100 PETERS COLONY RD
Practice Address - Street 2:SUITE # 320
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2949
Practice Address - Country:US
Practice Address - Phone:972-691-6500
Practice Address - Fax:972-539-9378
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8700208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH8700OtherMEDICAL LICENSE NUMBER
TXE0105078OtherDPS REGISTRATION NUMBER
TXE0105078OtherDPS REGISTRATION NUMBER
TX00005GMedicare ID - Type UnspecifiedACCOUNT #
TXE60676Medicare UPIN