Individual
DR. SCOTT B. RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(303) 246-3435
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0102202327
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0102202327
VA
2085R0202X
Diagnostic Radiology Physician
DOS-879
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10055213
SENTARA
VA
01
—
139178
BCBS
VA
05
—
1891832184
—
VA
05
—
5917289
—
NC
01
—
P00815457
RR MEDICARE
VA
Enumeration date
01/30/2007
Last updated
02/07/2014
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