Provider Demographics
NPI:1093777088
Name:KITEI, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:KITEI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:800 EATON AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018
Mailing Address - Country:US
Mailing Address - Phone:610-691-3335
Mailing Address - Fax:610-974-9950
Practice Address - Street 1:1530 8TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1883
Practice Address - Country:US
Practice Address - Phone:610-691-3335
Practice Address - Fax:610-974-9950
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2017-08-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD049085L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014037150004Medicaid
PAF50069Medicare UPIN
PA470742JKDMedicare PIN