Charles D Radis is a Specialist in Portland, Maine. Charles D Radis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles D Radis is 1235122094. The last update date is 2010-08-26.
Charles D Radis's current location address is 51 Sewall St, Portland, Maine. You can contact this provider via phone number 2077745761 and fax number 2078747478. The mailing address for Charles D Radis is 51 Sewall St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Radis |
|---|---|
| Address | 51 Sewall St, Portland, Maine |
| Phone Number | 2077745761 |
| Fax Number | 2078747478 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1235122094 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2010-08-26 |
Provider Mailing Address Detail
| Address | 51 Sewall St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022643 |
| Phone Number | 2077745761 |
| Fax Number | 2078747478 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1041 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110116560 | ME | PALMETTOG RAILROAD MEDICARE | |
| 673610001 | ME | DMERC | |
| 115940199 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Charles D Radis by the Centers for Medicare & Medicaid Services?
The Charles D Radis has been issued the NPI (National Provider Identifier) 1235122094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charles D Radis's physical address?
The Charles D Radis is physically located at 51 Sewall St, in the city of Portland, ME, with the postal code 41022643.
What is Charles D Radis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles D Radis is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Charles D Radis receive its 1235122094 assignment from the Centers for Medicare & Medicaid Services?
The Charles D Radis was assigned its 1235122094 by the Centers for Medicare & Medicaid Services on 2005-08-26.
As of what date were the details pertaining to Charles D Radis last refreshed?
The information related to the Charles D Radis, including its address, specialty, and other relevant details, was last updated on 2010-08-26.