Provider Demographics
NPI:1598269672
Name:KADOSH, DAVID SHALOM (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHALOM
Last Name:KADOSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24102 NORTHERN BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1060
Mailing Address - Country:US
Mailing Address - Phone:718-461-0163
Mailing Address - Fax:718-358-5570
Practice Address - Street 1:24102 NORTHERN BLVD STE 1
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-1060
Practice Address - Country:US
Practice Address - Phone:718-461-0163
Practice Address - Fax:718-358-5570
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2025-07-29
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY311190207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine