Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 38083 | KY |
Y | 207RI0011X | Interventional Cardiology | 38083 | KY |
NPI | 1083612378 |
---|---|
Provider Name | Thomas M Tu |
First Address | Louisville, KY 40295-0248 |
Second Address | Louisville, KY 40207-4660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 26/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64067473 | (05) | KY |
BT8006137 | DEA (01) | |
H69045 | (02) |