Provider Demographics
NPI:1750388138
Name:KATZEN, HARVEY IRWIN (MD)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:IRWIN
Last Name:KATZEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4220
Mailing Address - Country:US
Mailing Address - Phone:301-868-7911
Mailing Address - Fax:301-868-2285
Practice Address - Street 1:8926 WOODYARD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4220
Practice Address - Country:US
Practice Address - Phone:301-868-7911
Practice Address - Fax:301-868-2285
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0020352207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1403479001OtherCIGNA
32721002OtherBC/BS OF MD
35411OtherALLIANCE
35411OtherMAMSI
MD78459 1000Medicaid
3000024OtherUNITED HEALTHCARE
DCB6480003OtherBC/BS OF DC
0004052979OtherAETNA MNG
DC022117200Medicaid
058812OtherTRIGON
481550OtherAETNA HMO
DC02810005OtherBC/BS OF DC
05766OtherAMERICAID
493217OtherHEALTHLINK
35411OtherMAMSI
493217OtherHEALTHLINK
32721002OtherBC/BS OF MD
830003841Medicare PIN