Provider Demographics
NPI:1497753131
Name:KATZ, PAUL JAY (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JAY
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT 978
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148
Mailing Address - Country:US
Mailing Address - Phone:901-525-3086
Mailing Address - Fax:901-525-0844
Practice Address - Street 1:6401 POPLAR AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4823
Practice Address - Country:US
Practice Address - Phone:901-525-3086
Practice Address - Fax:901-525-0844
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN23875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00928679OtherRAILROAD MEDICARE
TN3070523Medicaid
TN4289389OtherBCBS
TNF37401Medicare UPIN
TNP00928679OtherRAILROAD MEDICARE