Provider Demographics
NPI:1336117977
Name:KATCHER, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:KATCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 LAKE MANASSAS DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3257
Mailing Address - Country:US
Mailing Address - Phone:571-222-2200
Mailing Address - Fax:571-222-2202
Practice Address - Street 1:7901 LAKE MANASSAS DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3257
Practice Address - Country:US
Practice Address - Phone:571-222-2200
Practice Address - Fax:571-222-2202
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025845207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA316256-95643OtherMAMSI/OP CHOICE/ALLIANCE
VA0870-008OtherBCBS NCA/CARE FIRST
VA1336117977Medicaid
VA3600119OtherUNITED HEALTHCARE
VA708862002OtherCIGNA PPO/POS
VA541795091OtherTRICARE
VA541795091OtherFIRST HEALTH
VA500617-827188OtherAETNA HMO
VA112927OtherKAISER
VA541795091OtherPHCS PPO/POS
VA708862006OtherCIGNA HMO
VA203751OtherTRIGON/ANTHEM
VA500617-4300812OtherAETNA PPO
VA504735OtherNCPPO
VA541795091OtherFX CTY COMM HEALTH
VA500617-827188OtherAETNA HMO
VA504735OtherNCPPO
VA541795091OtherPHCS PPO/POS
VA1336117977Medicaid