Dr. Charles William Raudat
Cardiothoracic Vascular Surgeon
310 N State Of Franklin Rd Suite 101
Johnson City
, Tennessee 37604-6008
Dr. Charles William Raudat
Cardiothoracic Vascular Surgeon
310 N State Of Franklin Rd Suite 101
Johnson City
, Tennessee 37604-6008
(423) 929-0872
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles William Raudat
- 310 N State Of Franklin Rd Suite 101
- Johnson City, TN
- Zip : 37604-6008
- Fax : (423) 929-0872
- Phone : (423) 929-7393
Second Address
- Dr. Charles William Raudat
- 310 N State Of Franklin Rd Suite 101
- Johnson City, TN
- Zip : 37604-6008
- Fax : (423) 929-0872
- Phone : (423) 929-7393
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208G00000X | Cardiothoracic Vascular Surgeon | 238582 | NY |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2525 | TN |
National Provider Identifier
| NPI | 1043263783 |
|---|---|
| Provider Name | Dr. Charles William Raudat |
| First Address | Johnson City, TN 37604-6008 |
| Second Address | Johnson City, TN 37604-6008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 22/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02738241 | (05) | NY |
| 1043263783 | (05) | VA |
| G94235 | (02) | |
| P01227008 | RAILROAD MEDICARE (01) | TN |
| Q001730 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.