Provider Demographics
NPI:1386720878
Name:CHATAL, CATHERINE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:CHATAL
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 1:2717 WESTERN AVE APT 6018
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1163
Mailing Address - Country:US
Mailing Address - Phone:206-947-2269
Mailing Address - Fax:
Practice Address - Street 1:155 NE 100TH ST STE 402
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8010
Practice Address - Country:US
Practice Address - Phone:206-582-6589
Practice Address - Fax:206-385-5460
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037134208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1119726Medicaid
8803655Medicare ID - Type Unspecified
WA1119726Medicaid