Basic Information
Provider Information
NPI: 1043659808
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAING
FirstName: LE YU
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 909
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402010909
CountryCode: US
TelephoneNumber: 5025874267
FaxNumber:  
Practice Location
Address1: 201 ABRAHAM FLEXNER WAY
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023841
CountryCode: US
TelephoneNumber: 5025874267
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/14/2013
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X56826KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X284841NYN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X284841NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home