Individual
DR. GREGG MARTIN RADER SR.
Active
Individual
DR. GREGG MARTIN RADER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000019461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119364106
UNITED HEALTHCARE
—
01
—
2622676
CIGNA
—
01
—
4049911
BLUE CROSS TN
TN
01
—
4450870
AETNA
—
01
—
687091
FIRST HEALTH
—
Enumeration date
07/07/2006
Last updated
11/18/2008
Update your record
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