Provider Demographics
NPI:1598871642
Name:HUANG, LLOYD K (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:K
Last Name:HUANG
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 1:3507 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3936
Mailing Address - Country:US
Mailing Address - Phone:615-329-3384
Mailing Address - Fax:615-329-9435
Practice Address - Street 1:3507 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3936
Practice Address - Country:US
Practice Address - Phone:615-329-3384
Practice Address - Fax:615-329-9435
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17389207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3730632Medicaid
TN3730632Medicare ID - Type Unspecified
TN3730632Medicaid