Individual provider · Type 1 NPI

Charles Pradieu, MD

Specialist · Tahlequah, OK

NPI number 1114918778 Active

Practice location

100 S Bliss Ave, 100 South Bliss Ave
Tahlequah, OK 74464-2512

Call (918) 458-3100 Map

Mailing address

1743 Atherton Ave, 1743 Atherton Ave
Elmont, NY 11003-1744

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X15061 (PR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114918778

Charles Pradieu, MD's National Provider Identifier is 1114918778, issued on Nov 2, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tahlequah, OK. The record was last updated on Jan 10, 2011.