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Individual

CHARLES F PRESTI

Active
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Individual

CHARLES F PRESTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01031157A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000641095
ANTHEM
IN
01
060070570
RR MEDICARE
IN
01
060071112
RR MEDICARE
OH
01
06551
MEDICAID OH PARAMOUNT
OH
05
100321300
IN
01
P00825409
R.R. MEDICARE
IN
01
P00846133
MEDICARE RAILROAD
OH
Enumeration date
08/15/2005
Last updated
10/03/2022
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