Provider Demographics
NPI:1427251883
Name:PRICE, KATHARINE A (MD)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:A
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1502 S MAIN ST
Mailing Address - Street 2:SUITE 304 & 305
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5325
Mailing Address - Country:US
Mailing Address - Phone:301-829-5906
Mailing Address - Fax:301-829-5909
Practice Address - Street 1:1502 S MAIN ST
Practice Address - Street 2:SUITE 304 & 305
Practice Address - City:MOUNT AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-5325
Practice Address - Country:US
Practice Address - Phone:301-829-5906
Practice Address - Fax:301-829-5909
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0074305207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD240897YBDBMedicare PIN