=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316154339
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NAMITA KATTAL MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2007
-----------------------------------------------------
Last Update Date | 03/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1870 AMHERST ST SUITE 2E
-----------------------------------------------------
City | WINCHESTER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22601-2873
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-667-4546
-----------------------------------------------------
Fax | 540-667-6893
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1870 AMHERST ST SUITE 2E
-----------------------------------------------------
City | WINCHESTER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22601-2873
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-667-4546
-----------------------------------------------------
Fax | 540-667-6893
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 0101259795
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------