Individual
MARYLU BASALA KATAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 696-1000
(828) 696-1314
Mailing address
1028 LEE ANN DR NE, SUITE 200, CONCORD, NC 28025-2911
(704) 782-1892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9600192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47899
BCBS
NC
05
—
8947899
—
NC
05
—
Q0019B
—
SC
Enumeration date
05/04/2006
Last updated
03/17/2018
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