Individual
MOHAMED ZITUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 S REED RD, KOKOMO, IN 46902-3838
(765) 776-5500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01092809A
IN
390200000X
Student in an Organized Health Care Education/Training Program
BP10059588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300092073
—
IN
Enumeration date
07/10/2017
Last updated
07/30/2024
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