Individual
DR. SCOTT B. RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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