Katz, Ilya

Katz, Ilya is an individual health care provider with primary practice located at 11022 N 28Th Dr Ste 205 , Phoenix AZ 85029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Katz, Ilya can be contacted via phone (602) 971-0304.

Contact Information

Primary practice address
11022 N 28Th Dr Ste 205 Phoenix AZ 85029
Phone: (602) 971-0304
Fax: (602) 971-0305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 242526 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 005220 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 005220 Arizona

Profile Details

NPI number 1104026319
LBN Legal business name Katz, Ilya
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 24th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104026319 NPPES
Arizona MEDICAID 437332

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