Provider Demographics
NPI:1356439210
Name:KATZ, HAROLD R (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:R
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3416
Mailing Address - Country:US
Mailing Address - Phone:410-752-1677
Mailing Address - Fax:410-752-4435
Practice Address - Street 1:1838 GREENE TREE RD
Practice Address - Street 2:SUITE 225
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6391
Practice Address - Country:US
Practice Address - Phone:410-653-0200
Practice Address - Fax:410-653-3667
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD30934207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE21318Medicare UPIN
MD693LO582Medicare PIN
MD4091880004Medicare NSC