Provider Demographics
NPI:1508235722
Name:KATTA DERMATOLOGY PA
Entity Type:Organization
Organization Name:KATTA DERMATOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAJANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-899-5330
Mailing Address - Street 1:6909 GREENBRIAR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3205
Mailing Address - Country:US
Mailing Address - Phone:832-899-5330
Mailing Address - Fax:832-810-0072
Practice Address - Street 1:6909 GREENBRIAR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3205
Practice Address - Country:US
Practice Address - Phone:832-899-5330
Practice Address - Fax:832-810-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty