MEDICARE: DR. LAMIA KATBI 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	208000000X	Pediatrics Physician		IN

General Provider Information

NPI Number	:	1912048851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAMIA KATBI MD

Provider Business Mailing Address
First Line	:	3145 45TH ST STE M
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-3292
Country	:	US
Telephone Number	:	219-922-9150
Fax Number	:	219-922-9180

Provider Business Practice Location Address
First Line	:	3145 45TH ST STE M
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-3292
Country	:	US
Telephone Number	:	219-922-9150
Fax Number	:	219-922-9180

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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