Dutta, Sudhir K
Dutta, Sudhir K is an individual health care provider with primary practice located at 2411 W Belvedere Ave Suite305, Baltimore MD 21215-5228. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Dutta, Sudhir K can be contacted via phone (410) 601-4536.Contact Information
Primary practice address
2411 W Belvedere Ave Suite305
Baltimore MD 21215-5228
Phone: (410) 601-4536
Fax: (410) 601-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D17622 | Maryland |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D17622 | Maryland |
Profile Details
| NPI number | 1245280544 |
|---|---|
| LBN Legal business name | Dutta, Sudhir K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 7th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245280544 | NPPES |
| Maryland | Other | 100006730 | R/R MEDICARE PROVIDER # |
| Maryland | MEDICAID | 371011400 | R/R MEDICARE PROVIDER # |
| Maryland | Other | CB9279 | R/R MEDICARE PROVIDER # |
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