Katlic, Mark Richard
Katlic, Mark Richard is an individual health care provider with primary practice located at 2401 West Belvedere Avenue Sinai Hospital Of Baltimore, Baltimore MD 21215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Katlic, Mark Richard can be contacted via phone (410) 601-5547.Contact Information
Primary practice address
2401 West Belvedere Avenue Sinai Hospital Of Baltimore
Baltimore MD 21215
Phone: (410) 601-5547
Fax: (410) 601-5835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD029769E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD029769E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | D72906 | Maryland |
Profile Details
| NPI number | 1265492516 |
|---|---|
| LBN Legal business name | Katlic, Mark Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265492516 | NPPES |
| Pennsylvania | MEDICAID | 001492250 |
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