Individual
DR. JEFFREY ALAN MIKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, WALTER REED NATIONAL MILITARY MEDICAL CENTER, BETHESDA, MD 20889
(301) 400-0501
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889
(301) 400-0501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11453
HI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11453
HI
207RP1001X
Pulmonary Disease Physician
11453
HI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0066709
MD
Other
Enumeration date
09/03/2006
Last updated
03/02/2017
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