Provider Demographics
NPI:1144529793
Name:ADIL O. KATABAY, MD, LLC
Entity type:Organization
Organization Name:ADIL O. KATABAY, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:O
Authorized Official - Last Name:KATABAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-738-4128
Mailing Address - Street 1:4967 SILVERTON WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7443
Mailing Address - Country:US
Mailing Address - Phone:614-738-4128
Mailing Address - Fax:
Practice Address - Street 1:4967 SILVERTON WAY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7443
Practice Address - Country:US
Practice Address - Phone:614-738-4128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty