Individual
JAMES KENT RADIKE
Active
Individual
JAMES KENT RADIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101044290
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619948833
USA MANAGED CARE
VA
01
—
1619948833
CORVEL
—
05
—
1619948833
—
VA
Enumeration date
01/27/2006
Last updated
06/09/2017
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