Provider Demographics
NPI:1912163635
Name:MORGAN, TOYOSI O (MD MPH MBA)
Entity Type:Individual
Prefix:DR
First Name:TOYOSI
Middle Name:O
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD MPH MBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2212 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-1034
Mailing Address - Country:US
Mailing Address - Phone:502-774-8631
Mailing Address - Fax:404-778-6901
Practice Address - Street 1:2212 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40212-1034
Practice Address - Country:US
Practice Address - Phone:502-774-8631
Practice Address - Fax:502-772-8189
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY47969207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY47969OtherPROFESSIONAL LICENSE