Individual
DR. ZELJKO S RADIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 WILLS RD, CROSS PLAINS, TN 37049-0034
(615) 654-3383
(615) 654-3383
Mailing address
PO BOX 34, 4550 WILLS RD, CROSS PLAINS, TN 37049-0034
(615) 654-3383
(615) 654-3383
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01052796
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163855
CSHCS
IN
01
—
163856
CSHCS
IN
01
—
163857
CSHCS
IN
05
—
200357590
—
IN
01
—
P00199426
RAILROAD MEDICARE
IN
Enumeration date
07/12/2005
Last updated
04/15/2011
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