Diana Shrader
Anesthesiologist
901 Macarthur Boulevard
Munster
, Indiana 46321-2901
Diana Shrader
Anesthesiologist
901 Macarthur Boulevard
Munster
, Indiana 46321-2901
(219) 513-1127
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Diana Shrader
- 901 Macarthur Boulevard Anesthesia Department
- Munster, IN
- Zip : 46321-2901
- Fax : (219) 513-1127
- Phone : (219) 836-7040
Second Address
- Diana Shrader
- 901 Macarthur Boulevard
- Munster, IN
- Zip : 46321-2901
- Fax : (219) 513-1127
- Phone : (219) 836-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 01052602A | IN |
National Provider Identifier
| NPI | 1003922121 |
|---|---|
| Provider Name | Diana Shrader |
| First Address | Munster, IN 46321-2901 |
| Second Address | Munster, IN 46321-2901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 23/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000081323 | ANTHEM BCBS (01) | IN |
| 7907386 | AETNA (01) | IN |
| H20965 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.