| Md2u Pllc | |
|
105 Crescent Ave Louisville KY 40206-1525 | |
| (502) 327-9100 | |
| (502) 742-3767 |
| Full Name | Md2u Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 105 Crescent Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Gregory David Latta (BILLING MANAGER) |
| Authorized Official Contact | 5023279100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md2u Pllc 105 Crescent Ave Louisville KY 40206-1525 Ph: (502) 327-9100 | Md2u Pllc 105 Crescent Ave Louisville KY 40206-1525 Ph: (502) 327-9100 |
| NPI Number | 1578576690 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578576690 | NPI | - | NPPES |
| 000000365262 | Other | KY | BCBS PIN |
| DD3382 | Other | KY | RAILROAD MEDICARE PIN |
| 50007387 | Other | KY | PASSPORT # |
| 2448540000 | Other | KY | PASSPORT ADVANTAGE # |
| 7100037890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01056286A (Indiana) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 38836 (Kentucky) | Primary |
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Kentucky Joint Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 310, Louisville, KY 40207 Phone: 502-771-5432 Fax: 502-771-5430 | |
Edina Torlak Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way Ste 302, Louisville, KY 40207 Phone: 502-893-7372 | |
Shirley J Meredith, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4000 Kresge Way, Baptist East Wound Care Center, Louisville, KY 40207 Phone: 502-259-4470 Fax: 502-259-4471 | |
Infectious Disease Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Locust Creek Blvd, Louisville, KY 40245 Phone: 502-916-3130 Fax: 502-916-3230 | |
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