Individual
CHARLES EDWIN OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6400 DUTCHMANS PKWY, SUITE 145, LOUISVILLE, KY 40205-3340
(502) 895-2902
(502) 893-8867
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 451-5855
(502) 479-1409
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
21469
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64214695
—
KY
01
—
P00398499
RR MEDICARE
KY
Enumeration date
01/15/2007
Last updated
08/31/2007
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