Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 33677 | IA |
N | 208200000X | Surgeon | 33677 | IA |
N | 208600000X | Surgeon | 33677 | IA |
NPI | 1023019676 |
---|---|
Provider Name | Daniel A Katz |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2005 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0216580 | (05) | IA |
21787 | WELLMARK BCBS (01) | IA |
G51844 | (02) |