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CLIFTON TATUM MD
NPI 1366440687
Radiology - Vascular & Interventional Radiology in Louisville, KY

Active since July 11, 2005
200 E GRAY ST, LOUISVILLE, KY 40202(502) 629-7601 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifton Tatum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFTON TATUM MD (NPI 1366440687) is an individual vascular & interventional radiology provider in Louisville, Kentucky, licensed in Kentucky (26863) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1366440687
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameCLIFTON TATUMCredential: MD
Location Address200 E GRAY STLouisville, KY 40202-2012
Mailing Address234 E Gray St, Suite 850Louisville, KY 40202-1900 · (502) 585-1735
Phone(502) 629-7601
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1366440687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in KY · 26863
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
200 E GRAY ST, Louisville, KY 40202
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Other Identifiers 10

Other000000050041KY · Bc Bs
Other50005985KY · Passport
Medicare UPINC76306
Medicare PIN300036561KY
Other000000308613KY · Bc Bs
Medicare PINCK0677KY
Medicaid100356810AIN
Other1052796KY · Passport
Medicaid64268634KY
Medicare PIN0287604KY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMRO AMER CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
200 E GRAY ST
LOUISVILLE, KY 40202
Jefferson County (502) 509-1046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifton Tatum's NPI number?

The NPI number for Clifton Tatum is 1366440687. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Clifton Tatum located?

Clifton Tatum practices at 200 E Gray St, Louisville, KY 40202. The listed phone number is (502) 629-7601.

What is Clifton Tatum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Clifton Tatum was last updated on January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.