1831268259 NPI number — MS. NAYDU OSORIO GONZALEZ OT

Table of content: DR. ANDREW S LEVIN M.D. (NPI 1033177233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831268259 NPI number — MS. NAYDU OSORIO GONZALEZ OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GONZALEZ
Provider First Name:
NAYDU
Provider Middle Name:
OSORIO
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OSORIO OSORIO
Provider Other First Name:
NAYDU
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
OT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831268259
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3804 KLERNER LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ALBANY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47150-2038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-851-1082
Provider Business Mailing Address Fax Number:
888-309-6379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3804 KLERNER LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150-2038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-851-1082
Provider Business Practice Location Address Fax Number:
888-309-6379
Provider Enumeration Date:
11/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  31004398A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)