Healthcare Provider Details

I. General information

NPI: 1053454413
Provider Name (Legal Business Name): LOUIS BYRON CADY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 ROSEBUD LN SUITE F
NEWBURGH IN
47630-9225
US

IV. Provider business mailing address

4727 ROSEBUD LN SUITE F
NEWBURGH IN
47630-9225
US

V. Phone/Fax

Practice location:
  • Phone: 812-429-0772
  • Fax: 812-429-0793
Mailing address:
  • Phone: 812-429-0772
  • Fax: 812-429-0793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01041458A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: