Provider Demographics
NPI:1790782688
Name:GITTER, KURT A (MD)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:A
Last Name:GITTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4315 HOUMA BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2940
Mailing Address - Country:US
Mailing Address - Phone:504-456-9061
Mailing Address - Fax:504-888-6045
Practice Address - Street 1:4315 HOUMA BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2940
Practice Address - Country:US
Practice Address - Phone:504-456-9061
Practice Address - Fax:504-888-6045
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2017-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA02800R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1102954Medicaid
MS00125705Medicaid
MS100000158Medicare PIN
LA180010485Medicare PIN
MS180033570Medicare PIN
LA1102954Medicaid
MS00125705Medicaid