Provider Demographics
NPI:1841338035
Name:TIU, AMY COO (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:COO
Last Name:TIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3311 BEAUMONT CENTRE CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1954
Mailing Address - Country:US
Mailing Address - Phone:859-523-1859
Mailing Address - Fax:
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE C305
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-8400
Practice Address - Fax:859-276-3700
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200301301207RG0100X
KY38712207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100025590Medicaid
KY0664504Medicare PIN