Provider Demographics
NPI:1447229968
Name:KORMAN, LOUIS Y (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:Y
Last Name:KORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 FRIENDSHIP BLVD
Mailing Address - Street 2:T-90
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7256
Mailing Address - Country:US
Mailing Address - Phone:301-654-2521
Mailing Address - Fax:301-654-2986
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 802
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-654-2521
Practice Address - Fax:301-654-2986
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022154207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0022154OtherSTATE LICENSE
MDC62706Medicare UPIN
418549M45Medicare PIN