MEDICARE: ELIEZER KATZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204F00000X	Transplant Surgery Physician	155764	MA

General Provider Information

NPI Number	:	1356429880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIEZER KATZ M.D.

Provider Business Mailing Address
First Line	:	5271 EAGLESNEST DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-8423
Country	:	US
Telephone Number	:	513-598-9290
Fax Number	:

Provider Business Practice Location Address
First Line	:	10123 ALLIANCE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4714
Country	:	US
Telephone Number	:	513-598-9290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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