MEDICARE: RICHARD GITTER MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	00022637	AL
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD.205267	LA
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	0101055752	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487635215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD GITTER MD

Provider Business Mailing Address
First Line	:	1 GALLERIA BLVD
Second Line	:	SUITE 100
City	:	METAIRIE
State	:	LA
Zip	:	70001-2082
Country	:	US
Telephone Number	:	504-833-0111
Fax Number	:	504-833-0114

Provider Business Practice Location Address
First Line	:	1 GALLERIA BLVD
Second Line	:	SUITE 100
City	:	METAIRIE
State	:	LA
Zip	:	70001-2082
Country	:	US
Telephone Number	:	504-833-0111
Fax Number	:	504-833-0114

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	07/14/2015

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Directions to “ RICHARD GITTER MD” Practice Location

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