Individual
NICHOLAS ROBERT RADER
Active
Individual
NICHOLAS ROBERT RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01026346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011607
SENIOR SMART CHOICE
IN
01
—
000000214825
BCBS
IN
01
—
0004361323
AETNA
IN
05
—
100153400
—
IN
01
—
154807
COLE VISION
IN
01
—
180044026
RAILROAD MEDICARE
IN
01
—
352129520
UNITED MINE WORKERS
IN
Enumeration date
08/23/2005
Last updated
02/01/2010
Update your record
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