MEDICARE: MICHAEL KITT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	G084198	CA

General Provider Information

NPI Number	:	1033551783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL KITT M.D.

Provider Business Mailing Address
First Line	:	3372 SHADY SPRING LN
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4581
Country	:	US
Telephone Number	:	650-438-3676
Fax Number	:

Provider Business Practice Location Address
First Line	:	3372 SHADY SPRING LN
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4581
Country	:	US
Telephone Number	:	650-438-3676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	07/23/2013

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