Individual
ARDEL C CAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST, SERVICES BLDG, STE 303, LOUISVILLE, KY 40202-1831
(502) 629-6552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30478
KY
208M00000X
Hospitalist Physician
Primary
30478
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000625001
ANTHEM - NICS
KY
01
—
055105
SIHO - NICS
KY
05
—
200270800
—
IN
01
—
3682676
CIGNA - NICS
KY
01
—
3730062000
PASSPORT ADVANTAGE - NICS
KY
01
—
50025123
PASSPORT - NICS
KY
01
—
611276316U
HUMANA - NICS
KY
05
—
64304785
—
KY
Enumeration date
07/15/2005
Last updated
03/21/2024
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