Provider Demographics
NPI:1265876767
Name:KATZ, ALAN ROY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ROY
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1960 E WEST RD
Mailing Address - Street 2:BIOMEDICAL SCIENCES BLDG., RM D104M, UNIV OF HAWAII
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2323
Mailing Address - Country:US
Mailing Address - Phone:808-956-8267
Mailing Address - Fax:
Practice Address - Street 1:1960 E WEST RD
Practice Address - Street 2:BIOMEDICAL SCIENCES BLDG., RM D104M, UNIV OF HAWAII
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2323
Practice Address - Country:US
Practice Address - Phone:808-956-8267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD47762083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine