MEDICARE: ALYSSA WANGUI KABITHE MD, MBA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1821791815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA WANGUI KABITHE MD, MBA

Provider Business Mailing Address
First Line	:	504 SHAWN DR
Second Line	:
City	:	MONROE
State	:	OH
Zip	:	45050-2611
Country	:	US
Telephone Number	:	513-800-6895
Fax Number	:

Provider Business Practice Location Address
First Line	:	1941 EAST RD # 3212
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2500
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	04/10/2026

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