Healthcare Provider Details

I. General information

NPI: 1003306911
Provider Name (Legal Business Name): GHADIR KHALIL KATATO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 CHERRY ST STE 2800
TOLEDO OH
43608-2675
US

IV. Provider business mailing address

2222 CHERRY ST STE 2800
TOLEDO OH
43608-2675
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-8210
  • Fax:
Mailing address:
  • Phone:
  • Fax: 419-251-8210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number34.017408
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: