Individual
DR. IVAN S. KATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DEPARTMENT OF DIAGNOSTIC RADIOLOGY, DETROIT, MI 48202-2608
(313) 916-7425
Mailing address
2799 W GRAND BLVD, DEPARTMENT OF DIAGNOSTIC RADIOLOGY, DETROIT, MI 48202-2608
(248) 228-6670
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301080165
MI
2085R0202X
Diagnostic Radiology Physician
ME175421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128303400
—
FL
Enumeration date
05/01/2007
Last updated
02/08/2026
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