Datta, Gaurav

Datta, Gaurav is an individual health care provider with primary practice located at 7510 Fortaleza Ave , Elk Grove CA 95757-1769. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Datta, Gaurav can be contacted via phone (414) 336-8677.

Contact Information

Primary practice address
7510 Fortaleza Ave Elk Grove CA 95757-1769
Phone: (414) 336-8677
Fax: (925) 954-6958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51523-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 51523-020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C153705 California

Profile Details

NPI number 1225184765
LBN Legal business name Datta, Gaurav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 12th, 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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