Provider Demographics
NPI:1942080577
Name:RADDER, SHRINIVAS (MD)
Entity type:Individual
Prefix:
First Name:SHRINIVAS
Middle Name:
Last Name:RADDER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CHILDRENS WAY # 653
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-4082
Practice Address - Street 1:1 CHILDRENS WAY # 104
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-1175
Practice Address - Fax:501-364-4082
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-11-12
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Provider Licenses
StateLicense IDTaxonomies
ARE-184022085R0202X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology