Provider Demographics
NPI:1285896043
Name:RADCHENKO, NADIA (PA)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:RADCHENKO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:2801 L ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5615
Practice Address - Country:US
Practice Address - Phone:855-255-5600
Practice Address - Fax:916-733-8660
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2015-07-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical