Provider Demographics
NPI:1497788673
Name:CASAT, CHARLES D (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:CASAT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Mailing Address - Street 2:501 BILLINGSLEY ROAD
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1009
Mailing Address - Country:US
Mailing Address - Phone:704-358-2710
Mailing Address - Fax:704-358-2938
Practice Address - Street 1:BEHAVIORAL HEALTH CENTER CMC RANDOLPH
Practice Address - Street 2:501 BILLINGSLEY ROAD
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1009
Practice Address - Country:US
Practice Address - Phone:704-358-2700
Practice Address - Fax:704-358-2945
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC94011472084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7921553Medicaid
NC21553OtherBCBS
NCC68807Medicare UPIN
NC7921553Medicaid