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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598758096 | NPPES |
Missouri | MEDICAID | 208498915 | |
Missouri | Other | 24710013 | |
Missouri | Other | 930062972 |
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