Provider Demographics
NPI:1457391518
Name:KATCHER, DEBRA ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ANNETTE
Last Name:KATCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 WILDWOOD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-1807
Mailing Address - Country:US
Mailing Address - Phone:405-275-9408
Mailing Address - Fax:
Practice Address - Street 1:1710 WILDWOOD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1807
Practice Address - Country:US
Practice Address - Phone:405-275-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17281208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF30731Medicare UPIN