Provider Demographics
NPI:1013912245
Name:KATARI, SINGARAJU (MD)
Entity Type:Individual
Prefix:DR
First Name:SINGARAJU
Middle Name:
Last Name:KATARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ANDOVER LN
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-2685
Mailing Address - Country:US
Mailing Address - Phone:936-327-8661
Mailing Address - Fax:936-327-3131
Practice Address - Street 1:604 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-3451
Practice Address - Country:US
Practice Address - Phone:936-327-8661
Practice Address - Fax:936-327-3131
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2363208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH27056Medicare UPIN
TX8F3518Medicare ID - Type Unspecified