Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fred J Kudrik, MD

Individual provider Hematology & Oncology Physician · NPI 1104807668

Dr. Fred J Kudrik, MD is a Hematology/Oncology in Columbia, South Carolina. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1997, 29 years ago. Practices with South Carolina Oncology Assoc PA, an 18-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
29
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
SC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

166 Stoneridge Dr
Columbia, SC 29210-8239
Phone: (803) 461-3000
Fax: (803) 461-4910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 22933 (SC)

Record details

NPI number1104807668
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESNovember 12, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice South Carolina Oncology Assoc Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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