Provider Demographics
NPI:1194922351
Name:KITTUR, DARSHANA (MD)
Entity type:Individual
Prefix:
First Name:DARSHANA
Middle Name:
Last Name:KITTUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAISER FOUNDATION HOSPITAL- MODESTO
Mailing Address - Street 2:4601 DALE ROAD 3RD FLOOR
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-2804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KAISER FOUNDATION HOSPITAL- MODESTO
Practice Address - Street 2:4601 DALE ROAD 3RD FLOOR
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-2804
Practice Address - Country:US
Practice Address - Phone:209-735-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106227207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology