Individual provider · Type 1 NPI

Timur Kitaev

Student in an Organized Health Care Education/Training Program · New Hyde Park, NY

NPI number 1346829983 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Mailing address

1832 Winona Blvd Apt 4
Los Angeles, CA 90027-3875

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X95001928 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Certified Registered Nurse Anesthetist 367500000X132272 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346829983

Timur Kitaev's National Provider Identifier is 1346829983, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Hyde Park, NY. The record was last updated on Dec 9, 2025.