Gitau, Mark Mutuota
Gitau, Mark Mutuota is an individual health care provider with primary practice located at 820 4Th St N , Fargo ND 58102-4539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gitau, Mark Mutuota can be contacted via phone (701) 234-6161.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 53892 | Minnesota |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 11318 | North Dakota |
Profile Details
| NPI number | 1225073661 |
|---|---|
| LBN Legal business name | Gitau, Mark Mutuota |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jun 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225073661 | NPPES |
| North Dakota | MEDICAID | 15203 |
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