Individual
MRS. SMITA K RAIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-5758
(219) 836-5774
Mailing address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-5758
(219) 836-5774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047569
IN
207Q00000X
Family Medicine Physician
036100077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485470
ANTHEM
IN
05
—
200250690
—
IN
01
—
7017026
AETNA
IN
01
—
90001294
BC/BS ILLINOIS
IL
01
—
P00349431
RAILROAD MEDICARE
IN
Enumeration date
08/01/2006
Last updated
06/11/2008
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