Individual
DR. CHARLES W YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BOULEVARD, SUITE 3170, INDIANAPOLIS, IN 46202-5159
(317) 948-3226
(317) 944-2443
Mailing address
705 RILEY HOSPITAL DR, SUITE 0860, INDIANAPOLIS, IN 46202-5109
(317) 630-8970
(317) 630-8958
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
01067786A
IN
207YX0901X
Otology & Neurotology Physician
35.092162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984050
—
IN
Enumeration date
05/02/2008
Last updated
01/13/2021
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