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Individual
CHRISTOPHER DAVID BRADEN
Active
Individual
CHRISTOPHER DAVID BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
02003326A
IN
207RH0003X
Hematology & Oncology Physician
03025
KY
207RH0003X
Hematology & Oncology Physician
Primary
T7874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579346
BLUE CROSS BLUE SHIELD
—
05
—
200904770
—
IN
01
—
50017963
PASSPORT
KY
05
—
7100014880
—
KY
01
—
P00465602
RAILROAD MEDICARE
KY
01
—
P00650548
RAILROAD MEDICARE
IN
Enumeration date
10/16/2006
Last updated
09/13/2022
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