MEDICARE: AHMED KATOOT

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JT6	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649211004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMED KATOOT

Provider Business Mailing Address
First Line	:	217 E 23RD ST
Second Line	:	SUITE E
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7613
Country	:	US
Telephone Number	:	850-913-1500
Fax Number	:	850-913-1584

Provider Business Practice Location Address
First Line	:	217 E 23RD ST
Second Line	:	SUITE E
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7613
Country	:	US
Telephone Number	:	850-913-1500
Fax Number	:	850-913-1584

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MR. AHMED M KATOOT
Credential	:
Telephone Number	:	850-913-1500

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	06/18/2008

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Directions to “AHMED KATOOT ” Practice Location

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