Individual
NICHOLAS ROBERT RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Mailing address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
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
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