Healthcare Provider Details

I. General information

NPI: 1396517058
Provider Name (Legal Business Name): SHWETA KATARIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC RADIOLOGY, 2034 OLD CLINIC BLDG., CB#7510
CHAPEL HILL NC
27599-7510
US

IV. Provider business mailing address

5 HOWELL ST APT 5
CHAPEL HILL NC
27514-4852
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-9047
  • Fax:
Mailing address:
  • Phone: 202-817-0719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2023-03154
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: