Individual
RICHARD HENRY LADAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28148089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192503
ANTHEM BCBS
IN
05
—
200316270A
—
IN
05
—
346601682
—
IL
01
—
7206404
AETNA
IN
Enumeration date
10/16/2006
Last updated
10/30/2019
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