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Dr. Leonid M. Katkovsky, MD
Military Health Care Provider in Beale Afb, California
NPI 1821087719

Leonid M. Katkovsky is a Military Health Care Provider based in Beale Afb, CA. Leonid M. Katkovsky practices in Beale Afb, CA and has the professional credentials of MD. The NPI Number for Leonid M. Katkovsky is 1821087719 and holds a License No. 77555 (California).

The current practice location address for Leonid M. Katkovsky is 15301 Warren Shingle Rd, Beale Afb, CA and can be reached out via phone at 530-634-4730.

Location: 15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
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Provider Profile Details
NPI Number
1821087719
Provider Name
Leonid M. Katkovsky
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15301 Warren Shingle Rd, Beale Afb, CA, 95903-1907
Phone Number
530-634-4730
Fax Number
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77555 01 OH MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
15301 Warren Shingle Rd
City
State
Zip
95903-1907
Phone Number
530-634-4730
Fax Number
person
Provider Business Mailing Address Details
Address
15301 Warren Shingle Rd
City
State
Zip
95903-1907
Phone Number
530-634-4730
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
77555 (Ohio)
Definition
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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