Provider Demographics
NPI:1255339875
Name:KATZ, WILLIAM H (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:598 CYNWOOD DR
Mailing Address - Street 2:# 105
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3805
Mailing Address - Country:US
Mailing Address - Phone:410-822-1221
Mailing Address - Fax:410-819-8149
Practice Address - Street 1:598 CYNWOOD DR
Practice Address - Street 2:# 105
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3805
Practice Address - Country:US
Practice Address - Phone:410-822-1221
Practice Address - Fax:410-819-8149
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2010-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD056997207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400749200Medicaid
D03665Medicare UPIN
MD400749200Medicaid