Individual
HAO A. LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29369
TN
207P00000X
Emergency Medicine Physician
Primary
MD450962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3073524
BLUE CROSS BLUE SHIELD TN
TN
05
—
3812851
—
TN
01
—
P00231561
RAILROAD MEDICARE
TN
Enumeration date
06/18/2006
Last updated
08/13/2025
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