Provider Demographics
NPI:1942435409
Name:KATCHEVES, ALEXANDER STEVE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:STEVE
Last Name:KATCHEVES
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:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6467
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 430
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:443-481-1940
Practice Address - Fax:443-481-1941
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1713322084N0400X
IAMD-535342084N0400X, 2084V0102X
DCMD0380012084V0102X
MDD691622084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
9364591OtherAETNA PPO
6448004OtherAETNA HMO
MD97095602OtherBCBS
MD97095603OtherBCBS
MD97095601OtherBCBS
MD430018100Medicaid
DCX5810001OtherBCBS
MD97095603OtherBCBS
MDP00917237Medicare PIN
MD192658ZDWSMedicare PIN