Maxwell Costa Tague, MD
Maxwell Costa Tague, MD is a Family Medicine Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.
- Licensed in
- KY
- In the registry since
- 2022
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
210 E Gray St Ste 700Louisville, KY 40202-3903
Phone: (502) 629-5400
Fax: (502) 629-5492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 61274 (KY) |
|---|
Record details
| NPI number | 1932859873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 24, 2022 |
| Last updated in NPPES | June 29, 2026 |
| Certification date | June 29, 2026 |
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