Individual
DR. RADMILA RADOVANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1323 N A ST, WELLINGTON, KS 67152-4350
(620) 326-7451
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0415180
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052908
BCBS
KS
05
—
100081330B
—
KS
Enumeration date
06/22/2006
Last updated
09/15/2009
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