MEDICARE: EDWARD R KATZ MD

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	208800000X	Urology Physician	6817	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487659504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD R KATZ MD

Provider Business Mailing Address
First Line	:	7301 E 2ND ST
Second Line	:	STE 308
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5627
Country	:	US
Telephone Number	:	480-949-1212
Fax Number	:	480-994-5633

Provider Business Practice Location Address
First Line	:	7301 E 2ND ST
Second Line	:	STE 308
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5627
Country	:	US
Telephone Number	:	480-949-1212
Fax Number	:	480-994-5633

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/10/2015

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