Individual
CHARLES M INBARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, #100, LOUISVILLE, KY 40241-2845
(502) 394-6200
(502) 394-6210
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 969-6552
(502) 212-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64009509
—
KY
01
—
P00176919
RAILROAD MEDICARE
KY
Enumeration date
04/19/2006
Last updated
11/01/2007
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