Individual provider · Type 1 NPI

Leonid M. Katkovsky, MD

Military Health Care Provider · Beale Afb, CA

NPI number 1821087719 Active

Practice location

15301 Warren Shingle Rd, 9th Mdg
Beale Afb, CA 95903-1907

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X77555 (OH)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1821087719

Leonid M. Katkovsky, MD's National Provider Identifier is 1821087719, issued on Oct 14, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Beale Afb, CA. The record was last updated on Feb 25, 2008.