Provider Demographics
NPI:1740283480
Name:KATZ, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3202 TOWER OAKS BLVD
Mailing Address - Street 2:330
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4219
Mailing Address - Country:US
Mailing Address - Phone:301-540-2700
Mailing Address - Fax:866-328-4322
Practice Address - Street 1:3202 TOWER OAKS BLVD
Practice Address - Street 2:330
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-4219
Practice Address - Country:US
Practice Address - Phone:301-540-2700
Practice Address - Fax:866-328-4322
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-26
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD30630207WX0109X
MDD00524472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39650Medicare UPIN
G01640B01Medicare PIN