Provider Demographics
NPI:1245524768
Name:KAUH, COURTNEY Y (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:Y
Last Name:KAUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 BUCKLES CT N STE 110
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6884
Mailing Address - Country:US
Mailing Address - Phone:614-434-8445
Mailing Address - Fax:614-368-7393
Practice Address - Street 1:725 BUCKLES CT N STE 110
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6884
Practice Address - Country:US
Practice Address - Phone:614-434-8445
Practice Address - Fax:614-368-7393
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35131736207W00000X, 207WX0200X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0243500Medicaid