MD Clifton Tatum, NPI 1366440687
Vascular & Interventional Radiology Physician in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366440687
NPI Entity Type Individual
Provider Name MD Clifton Tatum
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 200 E Gray St, Louisville, KY, US
Provider Mailing Address 234 E Gray St, Suite 850, Louisville, KY, US, 402021900
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0204X

Taxonomy Name Vascular & Interventional Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 26863
License State KY
Description A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Business Address

MD Clifton Tatum
200 E Gray St

Louisville, KY, US

Phone: 502-629-7601

Mailing Address

MD Clifton Tatum
234 E Gray St
Suite 850
Louisville, KY, US
ZIP 402021900
Phone: 502-585-1735

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
100356810A IN MEDICAID 05
1052796 KY PASSPORT 01
50005985 KY PASSPORT 01
64268634 KY MEDICAID 05
000000308613 KY BC BS 01
000000050041 KY BC BS 01

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DO John M Fleming

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Pikeville, KY

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