DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES PRADIEU, M.D.

Active

DR. CHARLES PRADIEU, M.D. is a Specialist healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1114918778 is currently active in the NPPES registry. Verify at CMS.

Specialist · TAHLEQUAH, OK

Registration Details

NPI Number
1114918778
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2005 (20.637319263258 yrs)
Last Updated
Jan 10, 2011
License
15061 (PR)

Practice Information

Address
100 S BLISS AVE
100 SOUTH BLISS AVE
TAHLEQUAH, OK, 744642512
Browse OK providers · Browse ZIP 74464
Phone
9184583100
Primary Specialty
Specialist
174400000X

Other Specialist Providers in TAHLEQUAH, OK

Name Credential NPI
DR. GEORGE SHAKER COHLMIA JR. M.D. 1124061551
MS. TERESA JEAN ROBERTS M.ED. 1427498211
NICHOLAS T SUNDAI 1801771852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.