Datta, Sandip Kumar

Datta, Sandip Kumar is an individual health care provider with primary practice located at 9500 Gilman Drive Uc San Diego, Mc 0663, La Jolla CA 92093-0663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Datta, Sandip Kumar can be contacted via phone (858) 822-6563.

Contact Information

Primary practice address
9500 Gilman Drive Uc San Diego, Mc 0663 La Jolla CA 92093-0663
Phone: (858) 822-6563
Fax: (858) 534-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A65249 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A65249 California

Profile Details

NPI number 1275566648
LBN Legal business name Datta, Sandip Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275566648 NPPES
California MEDICAID 00A652490

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