location
search-icon
person
Dr. Fred J Kudrik, MD
Hematology & Oncology Physician in Columbia, South Carolina
NPI 1104807668

Fred J Kudrik is a Hematology & Oncology Physician based in West Columbia, SC and is specialized in Hematology & Oncology. Fred J Kudrik practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Fred J Kudrik is 1104807668 and holds a License No. 22933 (South Carolina).

The current practice location address for Fred J Kudrik is 166 Stoneridge Dr, Columbia, SC and can be reached out via phone at 803-461-3000 and via fax at 803-461-4910.

Location: 166 Stoneridge Dr, Columbia, SC, 29171-2046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104807668
Provider Name
Fred J Kudrik
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
166 Stoneridge Dr, Columbia, SC, 29171-2046
Phone Number
803-461-3000
Fax Number
803-461-4910
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
229336 05 SC
6275 01 SC MCARE GROUP#
institution
Provider Business Practice Location Address Details
Address
166 Stoneridge Dr
City
Columbia
State
South Carolina
Zip
29210-8239
Phone Number
803-461-3000
Fax Number
803-461-4910
person
Provider Business Mailing Address Details
Address
166 Stoneridge Dr
City
Columbia
State
South Carolina
Zip
29210-8239
Phone Number
803-461-3000
Fax Number
803-461-4910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
22933 (South Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.