Basic Information
| Provider Information | |||||||||
| NPI: | 1932178373 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LADU | ||||||||
| FirstName: | KEITH | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 70 S CLEVELAND AVE | ||||||||
| Address2: | |||||||||
| City: | WESTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430811397 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148906555 | ||||||||
| FaxNumber: | 6148238881 | ||||||||
| Practice Location | |||||||||
| Address1: | 6785 BOBCAT WAY STE 300 | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430161443 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148906555 | ||||||||
| FaxNumber: | 6148238881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 11/19/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 34005826 | OH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200034131 | 01 | RAILROAD MEDICARE | OTHER | 2024893 | 05 | OH | MEDICAID | 310846816KEL | 01 | SUMMIT | OTHER | 7611083004 | 01 | CIGNA | OTHER | 000000198267 | 01 | ANTHEM | OTHER | 0005552679 | 01 | AETNA | OTHER | 20984 | 01 | NATIONWIDE | OTHER | 000000226359 | 01 | ANTHEM | OTHER | 310846816006 | 01 | PRUDENTIAL | OTHER | 0901173 | 01 | UNITED HEALTHCARE | OTHER | 9372391 | 01 | OH | MEDICARE PTAN | OTHER |