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Organization
MD2U IAH LLC
Active
Organization
MD2U IAH LLC
Active
Parent organization
MD2U MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD2U MANAGEMENT LLC
Authorized official
GREGORY DAVID LATTA (CIO/MEMBER)
(502) 416-1851
Entity
Organization
Contact information
Practice address
140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(855) 632-8329
Mailing address
140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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