Provider Demographics
NPI:1649248907
Name:KATS, INNA (MD)
Entity type:Individual
Prefix:DR
First Name:INNA
Middle Name:
Last Name:KATS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9815
Mailing Address - Country:US
Mailing Address - Phone:410-256-5858
Mailing Address - Fax:410-529-2431
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 216
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9815
Practice Address - Country:US
Practice Address - Phone:410-256-5858
Practice Address - Fax:410-529-2431
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD55568207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H34820Medicare UPIN
MD098L 096LMedicare ID - Type Unspecified