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NPI Code Detail

MEDICARE: DR. KATE ELIZABETH STANITSKI M.D.

MEDICARE: DR. KATE ELIZABETH STANITSKI 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
12085R0202XDiagnostic Radiology PhysicianMD437126PA
22085R0202XDiagnostic Radiology Physician15887HI
32085R0202XDiagnostic Radiology Physician39198IA
42085R0202XDiagnostic Radiology Physician95277SC
52085R0202XDiagnostic Radiology Physician35-095657OH

General Provider Information

NPI Number : 1972744688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATE ELIZABETH STANITSKI M.D.
Provider Business Mailing Address
First Line : 700 E MOREHEAD ST STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-2742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1241 ASSEMBLY ST STE B
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3121
Country : US
Telephone Number : 803-766-3009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2009
Last Update Date : 12/12/2025

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