# EMANUEL H. RADER, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669519625
- **Authorized official:** DR. EMANUEL H. RADER M.D. (OWNER)
- **Authorized official phone:** (606) 337-3570

## Contact information

- **Practice address:** 121 W VIRGINIA AVE, SUITE C-100, PINEVILLE, KY 40977-1600
- **Practice address phone:** (606) 337-3559
- **Practice address fax:** (606) 337-8252
- **Mailing address:** 121 W VIRGINIA AVE, SUITE C-100, PINEVILLE, KY 40977-1600
- **Mailing address phone:** (606) 337-3559
- **Mailing address fax:** (606) 337-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 11/26/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64148273 | — | KY |