Provider Demographics
NPI:1790775914
Name:KABITHE, DAVID WANJOHI (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WANJOHI
Last Name:KABITHE
Suffix:
Gender:M
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:PO BOX 412924
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2924
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:2016 SPRINGBORO W
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1648
Practice Address - Country:US
Practice Address - Phone:937-298-6777
Practice Address - Fax:937-298-6716
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53768208600000X
KY46790208600000X
OH35080783208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH59592Medicare UPIN
OH2317399Medicaid
OHKA4073471Medicare ID - Type Unspecified