Individual
DR. JAMES L RADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 MALABAR RD NE STE 245, MELBOURNE, FL 32907-2586
(321) 434-8210
(321) 434-8211
Mailing address
3300 S FISKE BLVD, MELBOURNE, FL 32901-1966
(321) 434-8210
(321) 434-8211
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME111294
FL
207VG0400X
Gynecology Physician
29481
MN
207VG0400X
Gynecology Physician
ME111294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107501500
—
FL
05
—
478877000
—
MN
01
—
MR643
FL MEDICARE
FL
01
—
P02572457
FL HF RR MED
FL
Enumeration date
08/04/2006
Last updated
12/05/2022
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