| Doctor Name: | SAMIR EZZELDIN WITTA |
| NPI Number: | 1013991678 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD PHD |
| License Number: | 39762 |
| Business Practice Address: | 400 Indiana St Suite 270 Golden, CO - 804015027 |
| Business Phone Number: | 3039537400 |
| Business Fax Number: | 3039537401 |
| Mailing Address: | 400 Indiana St, Suite 270 GOLDEN |
| State: | CO |
| Postal Code: | 804015027 |
| Phone Number: | 3039537400 |
| Fax Number: | 3039537401 |
| NPI Enumeration Date: | 12/06/2005 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 39762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |