1023444007 NPI number — NAD E. KATTAN AU.D.

Table of content: NAD E. KATTAN AU.D. (NPI 1023444007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023444007 NPI number — NAD E. KATTAN AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KATTAN
Provider First Name:
NAD
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023444007
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 HOWARD AVE FL 4
Provider Second Line Business Mailing Address:
YALE HEARING & BALANCE CENTER
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06519-1369
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-785-2467
Provider Business Mailing Address Fax Number:
203-785-5936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 HOWARD AVE FL 4
Provider Second Line Business Practice Location Address:
YALE HEARING & BALANCE CENTER
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-1369
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-2467
Provider Business Practice Location Address Fax Number:
203-785-5936
Provider Enumeration Date:
09/23/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  17.000539 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)