Provider Demographics
NPI:1699394478
Name:YEVGENY KATS DPM
Entity Type:Organization
Organization Name:YEVGENY KATS DPM
Other - Org Name:SHENANDOAH FOOT & ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:DR
Authorized Official - First Name:YEVGENY
Authorized Official - Middle Name:
Authorized Official - Last Name:KATS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:540-542-1800
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-2246
Mailing Address - Country:US
Mailing Address - Phone:540-542-1800
Mailing Address - Fax:540-542-1801
Practice Address - Street 1:103 E 6TH ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3407
Practice Address - Country:US
Practice Address - Phone:540-542-1800
Practice Address - Fax:540-542-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty