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Contact Information

NORMAN D RADTKE, MD
3 AUDUBON PLAZA DR
SUITE 240
LOUISVILLE, KY40217-1319
 Phone: 502-636-2823
 Fax: 502-634-1646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for NORMAN D RADTKE · (Male)

NPI Number 1073514717
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 08/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01035488
  • KY License # 20988
  • IN Medicaid 100003470A
  • IN Medicaid 100003470B
  • IN Medicaid 100003470D
  • KY Medicaid 64209885
  • KY Other 000000047621 ANTHEM
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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