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

Primary practice address
820 4Th St N Fargo ND 58102-4539
Phone: (701) 234-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225073661 NPPES
North Dakota MEDICAID 15203

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