Provider Demographics
NPI:1275640435
Name:KATZ, STEVEN LEE (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:KATZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HAMILTON ST STE 317
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6359
Mailing Address - Country:US
Mailing Address - Phone:610-481-9600
Mailing Address - Fax:610-481-0225
Practice Address - Street 1:2200 HAMILTON ST STE 317
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6359
Practice Address - Country:US
Practice Address - Phone:610-481-9600
Practice Address - Fax:610-481-0225
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004894L207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010780900008Medicaid
PA1078090Medicaid
PA017816V60Medicare PIN