Provider Demographics
NPI:1760718944
Name:WIITA, ARUN P (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:P
Last Name:WIITA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 0506, CHINA BASIN 1000, UCSF LABORATORY MEDICINE
Mailing Address - Street 2:185 BERRY ST.
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-1469
Mailing Address - Fax:
Practice Address - Street 1:185 BERRY ST
Practice Address - Street 2:CHINA BASIN UCSF LAB. MEDICINE BOX 0506
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-5705
Practice Address - Country:US
Practice Address - Phone:415-353-1469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115177207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology