Radakovich, Ricky Ray

Radakovich, Ricky Ray is an individual health care provider with primary practice located at 1000 Carondelet Dr , Kansas City MO 64114-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Radakovich, Ricky Ray can be contacted via phone (816) 942-4400.

Contact Information

Primary practice address
1000 Carondelet Dr Kansas City MO 64114-4673
Phone: (816) 942-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 108556 Missouri

Profile Details

NPI number 1598758096
LBN Legal business name Radakovich, Ricky Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Dec 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598758096 NPPES
Missouri MEDICAID 208498915
Missouri Other 24710013
Missouri Other 930062972

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