Radia, Mary A
Radia, Mary A is an individual health care provider with primary practice located at 8421 Plum Dr , Des Moines IA 50322-7356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Radia, Mary A can be contacted via phone (515) 643-9699.Contact Information
Primary practice address
8421 Plum Dr
Des Moines IA 50322-7356
Phone: (515) 643-9699
Fax: (515) 643-9698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01959 | Iowa |
Profile Details
| NPI number | 1598870586 |
|---|---|
| LBN Legal business name | Radia, Mary A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598870586 | NPPES |
| Iowa | MEDICAID | 5030650 |
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