Provider Demographics
NPI:1316953920
Name:BAYS, HAROLD EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:EDWARD
Last Name:BAYS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3288 ILLINOIS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1014
Mailing Address - Country:US
Mailing Address - Phone:502-515-6621
Mailing Address - Fax:502-515-6620
Practice Address - Street 1:3288 ILLINOIS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1014
Practice Address - Country:US
Practice Address - Phone:502-515-6621
Practice Address - Fax:502-515-6620
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY24037207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
1049008OtherPASSPORT
00000005019DOtherBC ANTHEM
110088378OtherRR MEDICARE
KY64240377Medicaid
2432335000OtherPASSPORT ADVANTAGE
KY64240377Medicaid