Provider Demographics
NPI:1629038047
Name:CATLETT, STEVEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:CATLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1293 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-1707
Mailing Address - Country:US
Mailing Address - Phone:760-391-5151
Mailing Address - Fax:760-391-5159
Practice Address - Street 1:1293 6TH ST
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-1707
Practice Address - Country:US
Practice Address - Phone:760-391-5151
Practice Address - Fax:760-391-5159
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43342207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A433420Medicaid
CAA43342OtherMEDICAL LICENSE
CAA43342OtherMEDICAL LICENSE
CA00A433420Medicare ID - Type Unspecified
CA00A433420Medicaid