Provider Demographics
NPI:1447281027
Name:KATZ, RICHARD HART (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:HART
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 GREENSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-1668
Mailing Address - Country:US
Mailing Address - Phone:412-825-8000
Mailing Address - Fax:412-824-9307
Practice Address - Street 1:1744 GREENSBURG AVE
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-1668
Practice Address - Country:US
Practice Address - Phone:412-825-8000
Practice Address - Fax:412-824-9307
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067626-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017961580001Medicaid
PA0017961580001Medicaid
PA037209Medicare ID - Type Unspecified