Provider Demographics
NPI:1972574663
Name:PITMAN, KAREN T (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:T
Last Name:PITMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6569 N CHARLES ST
Mailing Address - Street 2:PPW SUITE 401
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6831
Mailing Address - Country:US
Mailing Address - Phone:443-849-8940
Mailing Address - Fax:443-849-8940
Practice Address - Street 1:6569 N CHARLES ST
Practice Address - Street 2:PPW SUITE 401
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6831
Practice Address - Country:US
Practice Address - Phone:443-849-8940
Practice Address - Fax:443-849-8940
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS17760207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0126367Medicaid
MS512I040005Medicare PIN
MS0126367Medicaid
MSG09021Medicare UPIN
MS302I045808Medicare PIN