Provider Demographics
NPI:1477656817
Name:NAGY, CATHERINE S (MD)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:S
Last Name:NAGY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 J ST
Mailing Address - Street 2:STE A
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3741
Mailing Address - Country:US
Mailing Address - Phone:916-456-4782
Mailing Address - Fax:916-456-8277
Practice Address - Street 1:4801 J ST
Practice Address - Street 2:STE A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3741
Practice Address - Country:US
Practice Address - Phone:916-456-4782
Practice Address - Fax:916-456-8277
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65532207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A655320Medicaid
H02796Medicare UPIN
00A655321Medicare PIN