Individual
DR. SCOTT K RADOW
Active
Individual
DR. SCOTT K RADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101030196
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101030196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005812330
—
VA
05
—
0175056
—
NJ
01
—
021789
CIGNA
VA
01
—
189594
ANTHEM PROVIDER NUMBER
VA
01
—
22019
CARENET
VA
01
—
4800226
UNITED HEALTHCARE PROV #
VA
01
—
557515
AETNA PROVIDER NUMBER
VA
01
—
80058
SOUTHERN HEALTH PROVIDER#
VA
Enumeration date
07/14/2006
Last updated
05/20/2021
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