MEDICARE: LEAH ELIZABETH KATZ PA-C

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	363A00000X	Physician Assistant	0110007669	VA

General Provider Information

NPI Number	:	1881285948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH ELIZABETH KATZ PA-C

Provider Business Mailing Address
First Line	:	3551 13TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2001
Country	:	US
Telephone Number	:	860-933-9103
Fax Number	:

Provider Business Practice Location Address
First Line	:	5148 LEESBURG PIKE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1121
Country	:	US
Telephone Number	:	703-642-7522
Fax Number	:

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

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	05/07/2026

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