# MD2U IAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MD2U MANAGEMENT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225430812
- **Legal business name:** MD2U MANAGEMENT LLC
- **Authorized official:** GREGORY DAVID LATTA (CIO/MEMBER)
- **Authorized official phone:** (502) 416-1851

## Contact information

- **Practice address:** 140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
- **Practice address phone:** (502) 327-9100
- **Practice address fax:** (855) 632-8329
- **Mailing address:** 140 WHITTINGTON PKWY STE 100, LOUISVILLE, KY 40222-4930
- **Mailing address phone:** (502) 327-9100
- **Mailing address fax:** (855) 632-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/25/2014
