Healthcare Provider Details

I. General information

NPI: 1457919532
Provider Name (Legal Business Name): MAJD KATTAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MOHAMAD MAJED KATTAN

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 JEFFERSON AVE
TOLEDO OH
43604-7101
US

IV. Provider business mailing address

2200 JEFFERSON AVE
TOLEDO OH
43604-7101
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-1400
  • Fax: 419-251-1797
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101026752
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34016839
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: