NPI

Amida Gallito

NPI 1235267782

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2007-02-28
Last updated
2025-09-11

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Specialties

Licenses

License IN
01050345A
License SC
21184
License VA
0101238093

Location

Practice location
3520 Tower Ave
City
Superior WI
Postal code
54880-5335
Phone
(715) 392-9711

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Superior, WI. 578 records in the public file.

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