# DR. SHELAH RADKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366695967
- **Gender:** F
- **Credential:** M.D., J.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 14419 (57.0) MD | OH | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 2019014043 | MO | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 35.122835 | OH | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 09/05/2019