Provider Demographics
NPI:1659377851
Name:KATSANIS, WARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:A
Last Name:KATSANIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1470 TOBIAS GADSON BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4707
Mailing Address - Country:US
Mailing Address - Phone:843-556-4380
Mailing Address - Fax:843-571-5531
Practice Address - Street 1:1470 TOBIAS GADSON BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4707
Practice Address - Country:US
Practice Address - Phone:843-556-4380
Practice Address - Fax:843-571-5531
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC21397207VG0400X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC213977Medicaid
SC213977Medicaid