Provider Demographics
NPI:1669531075
Name:GYURIK, CATHERINE E (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:E
Last Name:GYURIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RHONDA LANE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-9460
Mailing Address - Country:US
Mailing Address - Phone:865-579-4534
Mailing Address - Fax:865-380-1461
Practice Address - Street 1:419 HIGH ST.
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862
Practice Address - Country:US
Practice Address - Phone:865-774-2444
Practice Address - Fax:865-774-4235
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN82132084P0800X
TNMD82132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A97396Medicare UPIN