Dr. John D Radke
Internist - Cardiovascular Disease
6150 Oakland Ave
Saint Louis
, Missouri 63139-3215
Dr. John D Radke
Internist - Cardiovascular Disease
6150 Oakland Ave
Saint Louis
, Missouri 63139-3215
(618) 206-8588
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. John D Radke
- 531 Pebble Brook Ln Hmai
- Belleville, IL
- Zip : 62221-7609
- Fax : (618) 206-8588
- Phone : (618) 779-5508
Second Address
- Dr. John D Radke
- 6150 Oakland Ave
- Saint Louis, MO
- Zip : 63139-3215
- Fax : (314) 768-3031
- Phone : (314) 768-3090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 28630 | MO |
National Provider Identifier
| NPI | 1013962133 |
|---|---|
| Provider Name | Dr. John D Radke |
| First Address | Belleville, IL 62221-7609 |
| Second Address | Saint Louis, MO 63139-3215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A11748 | (02) |
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.