Individual
STEVEN M. RADWANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-2957
(614) 688-3700
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-05-3311
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.053311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640891
—
OH
01
—
110136807
RAILROAD MEDICARE OHIO
OH
Enumeration date
02/17/2006
Last updated
12/29/2020
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