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

Individual provider Rehabilitation Practitioner · NPI 1417950205

Dr. Vic Kadyan, MD is a Physical Medicine and Rehabilitation in Boise, Idaho. Qualified in 1997, 29 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2005
Specialties on file
2
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

1000 N Curtis Rd Ste 202
Boise, ID 83706
Phone: (208) 377-3435
Fax: (208) 377-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence M9112 (ID)
Rehabilitation Practitioner Taxonomy 225400000X · Licence M9112 (ID)

Record details

NPI number1417950205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESAugust 13, 2018
Mailing address1000 N Curtis Rd, Ste 202, Boise, ID 83706-1346

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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