Provider Demographics
NPI:1952175556
Name:KARIITHI, GATIMU
Entity Type:Individual
Prefix:
First Name:GATIMU
Middle Name:
Last Name:KARIITHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 TURQUOISE DR
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1763
Mailing Address - Country:US
Mailing Address - Phone:510-406-1177
Mailing Address - Fax:510-799-0515
Practice Address - Street 1:716 TURQUOISE DR
Practice Address - Street 2:
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-1763
Practice Address - Country:US
Practice Address - Phone:510-406-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95255685163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical