Individual
DR. MARK E. CHARIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202-1350
(502) 568-4800
(502) 589-6882
Mailing address
222 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202-1350
(502) 568-4800
(502) 589-6882
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
29607
KY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
29607
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
29607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206969
ANTHEM
KY
05
—
200236700A
—
IN
05
—
64006828
—
KY
Enumeration date
07/14/2005
Last updated
10/03/2014
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