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1457294035 NPI number — MONIKA RADIKE MD, PHD

NPI Number: 1457294035
Health Care Provider/Practitioner: MONIKA RADIKE MD, PHD

Information about “1457294035” NPI (MONIKA RADIKE MD, PHD) exists in 1457294035 in HTML format HTML  |  1457294035 in plain Text format TXT  |  1457294035 in PDF (Portable Document Format) PDF  |  1457294035 in an XML format XML  formats.

NPI Number : 1457294035 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457294035",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RADIKE",
    "FirstName": "MONIKA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 860912",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55486-0912",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-284-2511",
    "MailingAddressFaxNumber": "507-284-0702",
    "FirstLinePracticeLocationAddress": "200 1ST ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCHESTER",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55905-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "507-284-2511",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/10/2026",
    "LastUpdateDate": "04/10/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "1038",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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