Individual
DR. EVALDAS RADZEVICIUS
Active
Individual
DR. EVALDAS RADZEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
24217
AL
2084P0800X
Psychiatry Physician
Primary
036126035
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009984865
—
AL
05
—
036126035
—
IL
01
—
K377
MEDICARE GROUP
AL
01
—
P00358766
MEDICARE ID
AL
Enumeration date
09/14/2005
Last updated
05/12/2020
Update your record
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