Dutta, Suresh V

Dutta, Suresh V is an individual health care provider with primary practice located at 1010 Nw Loop 410 Suite 100D, San Antonio TX 78213-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dutta, Suresh V can be contacted via phone (210) 308-9999.

Contact Information

Primary practice address
1010 Nw Loop 410 Suite 100D San Antonio TX 78213-2220
Phone: (210) 308-9999
Fax: (210) 308-6262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X L1024 Texas

Profile Details

NPI number 1992769137
LBN Legal business name Dutta, Suresh V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 31st, 2016 - about 10 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 1992769137 NPPES
Texas MEDICAID 0449803-02

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