Provider Demographics
NPI:1538486386
Name:KATZ, ELIONORA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIONORA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
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:FAIRFAX AVE SUITE 710
Mailing Address - Street 2:EVMS DEPARTMENT OF PSHYCHIATRY
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507
Mailing Address - Country:US
Mailing Address - Phone:757-446-5688
Mailing Address - Fax:
Practice Address - Street 1:FAIRFAX AVE SUITE 710
Practice Address - Street 2:EVMS DEPARTMENT OF PSHYCHIATRY
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:757-446-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program