Individual
DR. MICHAEL KATSAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-8893
Mailing address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11019061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11019061A
LICENSE NUMBER (MEDICAL RESIDENCY PERMIT ASSIGNED NUMBER)
IN
Enumeration date
06/27/2016
Last updated
06/29/2016
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