Healthcare Provider Details

I. General information

NPI: 1578504767
Provider Name (Legal Business Name): GREGORY JAMES KATO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR BUILDING 10CRC, RM 5-5140
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

16204 CARRS MILL RD
WOODBINE MD
21797-8324
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-8497
  • Fax: 301-451-7091
Mailing address:
  • Phone: 410-489-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberD36817
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: