Provider Demographics
NPI:1487654380
Name:KATZ, AARON STEVEN (MD)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:STEVEN
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N CHURCH STREET PL
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2706
Mailing Address - Country:US
Mailing Address - Phone:864-582-3447
Mailing Address - Fax:864-582-3449
Practice Address - Street 1:2020 N CHURCH STREET PL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2706
Practice Address - Country:US
Practice Address - Phone:864-582-3447
Practice Address - Fax:864-582-3449
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20680207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC206805Medicaid
SCG916281574Medicare ID - Type Unspecified
G91628Medicare UPIN