Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD.021003 | LA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD.021003 | LA |
NPI | 1104892991 |
---|---|
Provider Name | Ralph P Katz |
First Address | Marrero, LA 70072-3703 |
Second Address | Marrero, LA 70072-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 05/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1662704 | (05) | LA |
200039478 | RAILROAD MEDICARE (01) | LA |