Provider Demographics
NPI:1710189022
Name:PERRY-LINDLEY, KATASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATASHA
Middle Name:
Last Name:PERRY-LINDLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATASHA
Other - Middle Name:ELISHA
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1619 BUFFALO LAKES RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332
Mailing Address - Country:US
Mailing Address - Phone:910-343-3435
Mailing Address - Fax:
Practice Address - Street 1:1619 BUFFALO LAKES RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332
Practice Address - Country:US
Practice Address - Phone:910-343-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0216207Q00000X
NC2020-04771207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AW105OtherBC/BS
TX8L2026Medicare PIN
TX8AW105OtherBC/BS