MEDICARE: KATHARINE A PRICE 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	207R00000X	Internal Medicine Physician	D0074305	MD

General Provider Information

NPI Number	:	1427251883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE A PRICE M.D.

Provider Business Mailing Address
First Line	:	1502 S MAIN ST
Second Line	:	SUITE 304 & 305
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5325
Country	:	US
Telephone Number	:	301-829-5906
Fax Number	:	301-829-5909

Provider Business Practice Location Address
First Line	:	1502 S MAIN ST
Second Line	:	SUITE 304 & 305
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5325
Country	:	US
Telephone Number	:	301-829-5906
Fax Number	:	301-829-5909

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

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	03/24/2014

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