Provider Demographics
NPI:1255508248
Name:BABAT, KATZ AND SAMUELSON MDS PAA
Entity type:Organization
Organization Name:BABAT, KATZ AND SAMUELSON MDS PAA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECTY
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-381-0275
Mailing Address - Street 1:6449 38TH AVE N
Mailing Address - Street 2:SUITE C4
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1655
Mailing Address - Country:US
Mailing Address - Phone:727-381-0275
Mailing Address - Fax:727-345-8025
Practice Address - Street 1:6449 38TH AVE N
Practice Address - Street 2:SUITE C4
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1655
Practice Address - Country:US
Practice Address - Phone:727-381-0275
Practice Address - Fax:727-345-8025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BABAT, KATZ AND SAMUELSON MDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME196462085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053536204Medicaid