Provider Demographics
NPI:1699942813
Name:KATONA, TERRENCE MATTHIAS (DO)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MATTHIAS
Last Name:KATONA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9844 REDHILL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5627
Mailing Address - Country:US
Mailing Address - Phone:513-745-8337
Mailing Address - Fax:513-745-8335
Practice Address - Street 1:9844 REDHILL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5627
Practice Address - Country:US
Practice Address - Phone:513-745-8337
Practice Address - Fax:513-745-8335
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5572207ZD0900X
OH009649207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology