Healthcare Provider Details

I. General information

NPI: 1144529793
Provider Name (Legal Business Name): ADIL O. KATABAY, MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4967 SILVERTON WAY
DUBLIN OH
43016-7443
US

IV. Provider business mailing address

4967 SILVERTON WAY
DUBLIN OH
43016-7443
US

V. Phone/Fax

Practice location:
  • Phone: 614-738-4128
  • Fax:
Mailing address:
  • Phone: 614-738-4128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADIL O KATABAY
Title or Position: PRINCIPAL
Credential: MD
Phone: 614-738-4128