Provider Demographics
NPI:1740385418
Name:KURITZKES, RICHARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:KURITZKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 S BUENA VISTA ST
Mailing Address - Street 2:#410
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4569
Mailing Address - Country:US
Mailing Address - Phone:818-845-3773
Mailing Address - Fax:818-845-4211
Practice Address - Street 1:201 S BUENA VISTA ST
Practice Address - Street 2:#410
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4569
Practice Address - Country:US
Practice Address - Phone:818-845-3773
Practice Address - Fax:818-845-4211
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2013-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG56970207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG56970BOtherPTAN
CA00G569700Medicaid
CA00G569700Medicaid