| Doctor Name: | DR. ILYA KATS |
| NPI Number: | 1104026319 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 242526 |
| Business Practice Address: | 3929 E Bell Rd Phoenix, AZ - 85032 |
| Business Phone Number: | 6029235000 |
| Business Fax Number: | |
| Mailing Address: | 8620 N 22nd Ave, 200 PHOENIX |
| State: | AZ |
| Postal Code: | 85021 |
| Phone Number: | 6026746506 |
| Fax Number: | 6026746512 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 11/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 242526 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |