Individual
TODD W VITAZ
Active
Individual
TODD W VITAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301101710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000604896
ANTHEM - NNIKY
KY
01
—
000023035G
HUMANA - NNIKY
KY
01
—
047131
SIHO - NNIKY
KY
01
—
196290EEEE
MEDICARE - IN - NNIKY
IN
05
—
200365220
—
IN
01
—
3637830
CIGNA - NNIKY
KY
01
—
3694171000
PASSPORT ADVTG - NNIKY
KY
05
—
4301101710
—
MI
01
—
P00711479
RAILROAD KY MEDICARE - NNIKY
KY
Enumeration date
08/24/2005
Last updated
12/10/2024
Update your record
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