Individual
JOSHUA SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
(620) 341-7755
Mailing address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
(620) 341-7821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-52879
KS
207P00000X
Emergency Medicine Physician
344030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004828380002
—
KS
Enumeration date
04/12/2022
Last updated
07/20/2026
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