Provider Demographics
NPI:1720355951
Name:SUSAN A CATTO, MD, PC
Entity Type:Organization
Organization Name:SUSAN A CATTO, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ALYSS
Authorized Official - Last Name:CATTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-464-0389
Mailing Address - Street 1:494 S CRANBROOK CROSS RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3431
Mailing Address - Country:US
Mailing Address - Phone:248-464-0389
Mailing Address - Fax:
Practice Address - Street 1:31815 SOUTHFIELD RD STE 19B
Practice Address - Street 2:BEVERLY HILLS MEDICAL VILLAGE
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-5471
Practice Address - Country:US
Practice Address - Phone:248-213-6442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070487207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty