Katusha, Kathy
Katusha, Kathy is an sole proprietor health care provider with primary practice located at 8233 Old Courthouse Rd Suite 170, Vienna VA 22182-3816. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Katusha, Kathy can be contacted via phone (703) 556-9318.Contact Information
Primary practice address
8233 Old Courthouse Rd Suite 170
Vienna VA 22182-3816
Phone: (703) 556-9318
Fax: (703) 448-8839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101043850 | Virginia |
Profile Details
| NPI number | 1235144635 |
|---|---|
| LBN Legal business name | Katusha, Kathy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1235144635 | NPPES |
| Virginia | MEDICAID | 5861713 |
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