Individual provider · Type 1 NPI

Fred J. Kudrik, MD

Hematology & Oncology Physician · Columbia, SC

NPI number 1104807668 Active

Practice location

166 Stoneridge Dr
Columbia, SC 29210-8239

Fax (803) 461-4910

Mailing address

PO Box 2046
West Columbia, SC 29171-2046

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X22933 (SC)

Hematology & Oncology Physician: 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.

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About NPI 1104807668

Fred J. Kudrik, MD's National Provider Identifier is 1104807668, issued on Nov 10, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Columbia, SC. The record was last updated on Nov 12, 2009.