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Contact Information

ILYA KATZ, DO
11022 N 28TH DR STE 205
PHOENIX, AZ85029
 Phone: 602-971-0304
 Fax: 602-971-0305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ILYA KATZ · (Male)

NPI # 1104026319
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/25/2007
Last updated 07/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 005220
  • NY License # 242526
  • AZ Medicaid 437332
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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