DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VERA TATE M.D.

MEDICARE: VERA TATE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry Physician72934GA

General Provider Information

NPI Number : 1750647384
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA TATE M.D.
Provider Business Mailing Address
First Line : 445 WINN WAY
Second Line :
City : DECATUR
State : GA
Zip : 30030-1707
Country : US
Telephone Number : 404-294-3836
Fax Number :
Provider Business Practice Location Address
First Line : 2406 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-1008
Country : US
Telephone Number : 502-775-1211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 07/21/2022

Similar Medicare Providers

1003344854 — MRS. MIASHA RENEE CRUTCHFIELD APRN
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 502-775-1211
Practice Fax:
1396294401 — HERSHEMA BURNETT APRN
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 502-883-6800
Practice Fax:
1972578813 — MARLYCE R HILL-ALI MD
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 502-775-1211
Practice Fax: 502-775-1221
1952366957 — DANA R HARRIS ARNP
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 502-775-1211
Practice Fax: 502-443-9391
1497917165 — DR. TREVECCA KERRY SHAW DPM
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 502-775-1711
Practice Fax: 502-443-0369
1740540525 — JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
Practice Location Address:
2406 W BROADWAY
LOUISVILLE, KY
40211-1008
Practice Phone: 305-653-1770
Practice Fax:

Directions to “ VERA TATE M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.