Provider Demographics
NPI:1861424988
Name:BITTKER, THOMAS E (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:BITTKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:ELIOT
Other - Last Name:BITTKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, LTD
Mailing Address - Street 1:6151 LAKESIDE DRIVE
Mailing Address - Street 2:2001
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8545
Mailing Address - Country:US
Mailing Address - Phone:775-329-4284
Mailing Address - Fax:775-329-2550
Practice Address - Street 1:6151 LAKESIDE DRIVE
Practice Address - Street 2:2001
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8545
Practice Address - Country:US
Practice Address - Phone:775-329-4284
Practice Address - Fax:775-329-2550
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMD01492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry