Provider Demographics
NPI:1134994791
Name:MADHU KATAKIA MD INC
Entity type:Organization
Organization Name:MADHU KATAKIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:
Authorized Official - Last Name:KATAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-501-5807
Mailing Address - Street 1:1532 W YALE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3446
Mailing Address - Country:US
Mailing Address - Phone:714-997-5614
Mailing Address - Fax:714-997-3319
Practice Address - Street 1:1532 W YALE AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-3446
Practice Address - Country:US
Practice Address - Phone:714-997-5614
Practice Address - Fax:714-997-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty