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NPI Code Detail

MEDICARE: DONALD KIKTA M.D., INC.

MEDICARE: DONALD KIKTA M.D., INC.
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
12084N0400XNeurology Physician35039767OH

Other Identifiers

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

General Provider Information

NPI Number : 1639151806
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD KIKTA M.D., INC.
Provider Business Mailing Address
First Line : 6681 RIDGE RD
Second Line : SUITE 310
City : PARMA
State : OH
Zip : 44129-5713
Country : US
Telephone Number : 440-884-1166
Fax Number : 440-884-1150
Provider Business Practice Location Address
First Line : 6681 RIDGE RD
Second Line : SUITE 310
City : PARMA
State : OH
Zip : 44129-5713
Country : US
Telephone Number : 440-884-1166
Fax Number : 440-884-1150
Authorized Official
Title or Position : PRESIDENT
Name : DR. DONALD GREGORY KIKTA
Credential : M.D.
Telephone Number : 440-884-1166
Provider Enumeration Date : 11/15/2005
Last Update Date : 06/11/2008

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