Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. THADDEUS F RADZIWIECKI
Active
Individual
DR. THADDEUS F RADZIWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000594A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000080130
ANTHEM BLUE CROSS SHIELD
IN
01
—
480026572
RAILROAD MEDICARE
—
01
—
5622190001
MEDICARE DMEPOS
IN
Enumeration date
06/26/2006
Last updated
12/31/2009
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