Provider Demographics
NPI:1326837998
Name:KEVIN GIADROSICH MD PC
Entity type:Organization
Organization Name:KEVIN GIADROSICH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GIADROSICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-908-2603
Mailing Address - Street 1:2112 ROCKY RIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5531
Mailing Address - Country:US
Mailing Address - Phone:205-438-6290
Mailing Address - Fax:205-822-0136
Practice Address - Street 1:2112 ROCKY RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5531
Practice Address - Country:US
Practice Address - Phone:205-438-6290
Practice Address - Fax:205-822-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty