IndividualActive
Clifton Tatum, MD
NPI 1366440687 · Vascular & Interventional Radiology Physician · Louisville, KY
Provider details
- NPI number
- 1366440687
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26863 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 E Gray St
Louisville, KY 40202-2012
Phone: (502) 629-7601
Approximate (ZIP-level) locationGet directions
Mailing address
234 E Gray St
Louisville, KY 40202-1900
Registry dates
- Enumerated
- 2005-07-11
- Last updated
- 2013-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.