Provider Demographics
NPI:1952004798
Name:CATANIA, RUSSELL KELLER (MD)
Entity Type:Individual
Prefix:
First Name:RUSSELL
Middle Name:KELLER
Last Name:CATANIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RUSSELL
Other - Middle Name:LEROY
Other - Last Name:KELLER
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:734 WELCH ROAD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304
Mailing Address - Country:US
Mailing Address - Phone:650-497-8000
Mailing Address - Fax:
Practice Address - Street 1:734 WELCH ROAD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:650-497-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program