Clifton Tatum in Louisville - Vascular & Interventional Radiology

Clifton Tatum - NPI 1366440687

Clifton Tatum is a Vascular & Interventional Radiology in Louisville, Kentucky. Clifton Tatum practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Clifton Tatum is 1366440687. The last update date is 2013-01-25.

Clifton Tatum's current location address is 200 E Gray St, Louisville, Kentucky. You can contact this provider via phone number 5026297601. The mailing address for Clifton Tatum is 200 E Gray St, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifton Tatum
Address 200 E Gray St, Louisville, Kentucky
Phone Number 5026297601
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366440687
Provider Enumeration Date 2005-07-11
Last Updated Date 2013-01-25

Provider Mailing Address Detail

Address 200 E Gray St
City Louisville
State Kentucky (KY)
Post Code 4020220120
Phone Number 5026297601
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 26863
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100356810A IN --
1052796 KY PASSPORT
50005985 KY PASSPORT
64268634 KY --
308613 KY BC BS
50041 KY BC BS

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FAQs about Clifton Tatum

What is the unique 10-digit identification code issued to Clifton Tatum by the Centers for Medicare & Medicaid Services?

The Clifton Tatum has been assigned the NPI (National Provider Identifier) 1366440687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Clifton Tatum's facilities are geographically located?

The facilities of Clifton Tatum are physically situated at the following location: 200 E Gray St, Louisville, KY, 4020220120.

What is the Clifton Tatum's specialty and taxonomy code?

The Clifton Tatum's specialty is Vascular & Interventional Radiology, and the corresponding taxonomy code is 2085R0204X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366440687 to Clifton Tatum?

The Clifton Tatum received its 1366440687 assignment from the Centers for Medicare & Medicaid Services on 2005-07-11.

When was the information pertaining to Clifton Tatum most recently updated or revised?

The details related to Clifton Tatum, including its address, specialty, and other relevant information, were last updated or revised on 2013-01-25.

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