Individual
MICHAEL J PITT
Active
Individual
MICHAEL J PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L-1766DP
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085063
BLUE CROSS
AL
05
—
000085063
—
AL
01
—
00124784
MISSISSIPPI MEDICAID
MS
05
—
009932036
—
AL
05
—
009932064
—
AL
05
—
009936977
—
AL
05
—
009980350
—
AL
01
—
0116890
MISSISSIPPI MEDICAID
MS
01
—
051505680
BLUE CROSS
AL
01
—
051506080
BLUE CROSS
AL
01
—
051513005
BLUE CROSS
AL
01
—
051534314
BLUE CROSS
AL
01
—
300059298
RAILROAD MEDICARE
AL
01
—
E28390
VIVA
AL
Enumeration date
07/10/2006
Last updated
08/03/2011
Update your record
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