MEDICARE: DR. ANAMIKA KATOCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	63320	AZ
2	207RH0003X	Hematology & Oncology Physician	045158	CT
3	207RX0202X	Medical Oncology Physician	ME155873	FL
4	207RH0003X	Hematology & Oncology Physician	ME155873	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194938324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAMIKA KATOCH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9567
Fax Number	:	239-343-9571

Provider Business Practice Location Address
First Line	:	8925 COLONIAL CENTER DR STE 2001
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7813
Country	:	US
Telephone Number	:	239-343-9567
Fax Number	:	239-343-9571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	11/02/2022

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