Datta, Ankur

Datta, Ankur is an individual health care provider with primary practice located at 4123 Dutchmans Ln Ste 606 , Louisville KY 40207-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Datta, Ankur can be contacted via phone (502) 896-2500.

Contact Information

Primary practice address
4123 Dutchmans Ln Ste 606 Louisville KY 40207-4725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036.128019 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 58279 Kentucky

Profile Details

NPI number 1750553665
LBN Legal business name Datta, Ankur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Sep 13th, 2023 - about last year

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 1750553665 NPPES
Illinois MEDICAID 036.128019

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