MEDICARE: OLEG KATCHER MDPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	211769	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124191325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLEG KATCHER MDPC

Provider Business Mailing Address
First Line	:	1765 EAST 19TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2201
Country	:	US
Telephone Number	:	718-758-4379
Fax Number	:

Provider Business Practice Location Address
First Line	:	1765 EAST 19TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2201
Country	:	US
Telephone Number	:	718-758-4379
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. OLEG KATCHER
Credential	:	MD
Telephone Number	:	718-758-4379

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	05/05/2016

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