Provider Demographics
NPI:1093999666
Name:KATHERINE D. CARIAS, M.D., INC
Entity Type:Organization
Organization Name:KATHERINE D. CARIAS, M.D., INC
Other - Org Name:ASTHMA AND ALLERGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-324-7704
Mailing Address - Street 1:2501 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2945
Mailing Address - Country:US
Mailing Address - Phone:606-324-7704
Mailing Address - Fax:606-324-3985
Practice Address - Street 1:717 5TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4007
Practice Address - Country:US
Practice Address - Phone:800-367-2395
Practice Address - Fax:740-354-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071043174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9340271Medicare PIN