Individual
DR. PATRICIA REED TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 N SHELBY ST, SALEM, IN 47167-2304
(812) 883-5881
Mailing address
PO BOX 950165, DEPT 53069, LOUISVILLE, KY 40295-0165
(812) 945-3916
(812) 944-3404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01025438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062193
ANTHEM BENEFIT
IN
01
—
000000062193
ANTHEM
KY
01
—
241950
UNICARE MEDICARE
IN
Enumeration date
08/22/2005
Last updated
02/20/2008
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