Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 34008150K | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | OS009402L | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 34008150K | OH |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | OS009402L | PA |
NPI | 1285639963 |
---|---|
Provider Name | Dr. Allan Katz |
First Address | Poland, OH 44514-3358 |
Second Address | Poland, OH 44514-3358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 25/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01961609 | (05) | PA |
2462697 | (05) | OH |
H58389 | (02) |