Kadyan, Vic

Kadyan, Vic is an individual health care provider with primary practice located at 1000 N Curtis Rd Ste 202, Boise ID 83706. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kadyan, Vic can be contacted via phone (208) 377-3435.

Contact Information

Primary practice address
1000 N Curtis Rd Ste 202 Boise ID 83706
Phone: (208) 377-3435
Fax: (208) 377-3147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X M9112 Idaho
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M9112 Idaho

Profile Details

NPI number 1417950205
LBN Legal business name Kadyan, Vic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417950205 NPPES
Idaho MEDICAID 806876700

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