Provider Demographics
NPI:1689776098
Name:KATZ & HAYNE MDS INC
Entity Type:Organization
Organization Name:KATZ & HAYNE MDS INC
Other - Org Name:IRVING L. KATZ MD & L. RICHARD HAYNE MD, APC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:L
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-259-1480
Mailing Address - Street 1:1750 EL CAMINO REAL
Mailing Address - Street 2:307
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010
Mailing Address - Country:US
Mailing Address - Phone:650-259-1480
Mailing Address - Fax:650-697-7361
Practice Address - Street 1:1750 EL CAMINO REAL
Practice Address - Street 2:307
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010
Practice Address - Country:US
Practice Address - Phone:650-259-1480
Practice Address - Fax:650-697-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ83789ZMedicaid
ZZZ83789ZMedicare ID - Type Unspecified