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
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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