Basic Information
Provider Information
NPI: 1326303819
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PITT
FirstName: YIUKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LEUNG
OtherFirstName: YIUKA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 909
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402010909
CountryCode: US
TelephoneNumber: 5028525851
FaxNumber: 5028523762
Practice Location
Address1: 530 S JACKSON ST
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402021675
CountryCode: US
TelephoneNumber: 5028525851
FaxNumber: 5028523762
Other Information
ProviderEnumerationDate: 07/10/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X48929KYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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