Provider Demographics
NPI:1265563910
Name:EMERSHAD, KATHERINE DROSTE (MD)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DROSTE
Last Name:EMERSHAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:K
Other - Last Name:DROSTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10200 N 92ND ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4534
Mailing Address - Country:US
Mailing Address - Phone:480-391-3885
Mailing Address - Fax:480-355-6860
Practice Address - Street 1:10200 N 92ND ST
Practice Address - Street 2:SUITE 225
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4534
Practice Address - Country:US
Practice Address - Phone:480-391-3885
Practice Address - Fax:480-355-6860
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72919174400000X
AZ32644174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF08607Medicare UPIN