MEDICARE: DR. DAVID WANJOHI KABITHE 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	208600000X	Surgery Physician	53768	TN
2	208600000X	Surgery Physician	35080783	OH
3	208600000X	Surgery Physician	46790	KY

General Provider Information

NPI Number	:	1790775914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WANJOHI KABITHE MD

Provider Business Mailing Address
First Line	:	PO BOX 412924
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2924
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	2016 SPRINGBORO W
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1648
Country	:	US
Telephone Number	:	937-298-6777
Fax Number	:	937-298-6716

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	01/12/2026

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