INDERJIT KATYAL (NPI# 1922010719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922010719 |
| Entity Type | Individual |
| Full Name | INDERJIT KATYAL |
| Credential | MD |
| Practice Address |
74 Southaven Ave Medford NY 11763-3746 |
| Practice Telephone | 6316542386 |
| Practice Fax Number | 6314473852 |
| Mailing Telephone | 6316542386 |
| Mailing Fax Number | 6314473852 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
113488 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00653223 | 05 |
| Street Address |
74 SOUTHAVEN AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047971 | Brookhaven Neurology Pllc | Psychiatry & Neurology | 74 Southaven Ave, Suite G, Medford, NY 11763-3746 | 2013-08-14 |
| 1639391915 | Frank C Perry | Dentist | 74 Southaven Ave, Ste A, Medford, NY 11763 | 2007-05-03 |
| 1669537932 | Natale F Spata | Chiropractor | 74 Southaven Ave, Suite B, Medford, NY 11763-3746 | 2006-12-26 |
| 1336201227 | Rana Zoeb | Internal Medicine | 74 Southaven Ave, Suite C, Medford, NY 11763 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669511945 | Minor Edwin Matthews | Internal Medicine | 271 Island Pointe Dr, Medford, OR 97504-9453 | 2007-02-05 |
| 1386609238 | Michael J Zema | Internal Medicine | 844 Golf Ln, Medford, NY 11763-1203 | 2006-04-20 |
| 1376517532 | David Samenuk | Internal Medicine | 137 Main St, Medford, MA 02155 | 2006-02-15 |
| 1922095199 | Joel A Tobias | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2005-10-04 |
| 1487650586 | Christopher E Cannon | Internal Medicine | 1698 E. Mcandrews Rd, Suite 300, Medford, OR 97504-5590 | 2005-06-23 |
| 1457649626 | Keval K Patel | Internal Medicine | 520 Medical Center Dr Ste 200, Medford, OR 97504-4314 | 2011-07-21 |
| 1033444781 | Southern Oregon Cardiology LLC | Internal Medicine | 520 Medical Center Dr, Ste 200, Medford, OR 97504-4314 | 2009-10-14 |
| 1043337439 | Melike Arslan | Internal Medicine | 1698 E Mcandrews Rd, Suite 300, Medford, OR 97504-5589 | 2007-03-23 |
| 1023165925 | Donald L Bowser | Internal Medicine | 520 Medical Center Dr, Suite 100, Medford, OR 97504-4334 | 2007-01-04 |
| 1093827883 | Jaekyoung Audrey Hong | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2006-08-31 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.