Individual
DAVID E TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E BROADWAY, STE 195, LOUISVILLE, KY 40202-1703
(502) 629-4263
(502) 629-4282
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 969-6552
(502) 212-1358
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32802
KY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
32802
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507566
ANTHEM - LAH
KY
01
—
000023025U
HUAMANA - L:AH
KY
01
—
069472
SIHO - LAH
KY
01
—
200822720
HEALTHY INDIANA PLAN- LOUISVILLE ARM AND HAND
KY
05
—
200822720
—
IN
01
—
2808156000
PASSPORT ADVANTAGE - LAH
KY
01
—
50013626
PASSPORT - LAH
KY
05
—
64119571
—
KY
01
—
P00365516
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
07/09/2016
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