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

MR. CARL FREDERICK TATE, PHYSICIAN ASSISTANT

Active Sole Proprietor

MR. CARL FREDERICK TATE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in INDIANAPOLIS, Indiana. NPI 1629255302 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · INDIANAPOLIS, IN

Registration Details

NPI Number
1629255302
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2008 (18.518499499126 yrs)
Last Updated
Jan 25, 2008
License
10000107A (IN)
Sole Proprietor
Yes

Practice Information

Address
3549 BOULEVARD PL
INDIANAPOLIS, IN, 462084403
Browse IN providers · Browse ZIP 46208
Phone
3179251300
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in INDIANAPOLIS, IN

Name Credential NPI
DONALD G MUNSON PA 1902898901
ANDREW FREDERICK SHAAR PA-C 1659364792
MR. TIMOTHY BARNARD PA-C 1427044056
LAURA E BUENING PA-C 1972586485
MS. CHRISTINA RACE PA-C 1003895400
JILL M ELEFTHERI PA-C 1467431643
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.