Healthcare Provider Details

I. General information

NPI: 1588752588
Provider Name (Legal Business Name): PATRICIA CATALDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 EUCLID AVE
PAINTSVILLE KY
41240-1169
US

IV. Provider business mailing address

301 EUCLID AVE
PAINTSVILLE KY
41240-1169
US

V. Phone/Fax

Practice location:
  • Phone: 606-789-4009
  • Fax: 606-789-8757
Mailing address:
  • Phone: 606-789-4009
  • Fax: 606-789-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number36159
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: