Datta, Manabendra

Datta, Manabendra is an individual health care provider with primary practice located at 1800 E Park Ave , State College PA 16803-6709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Datta, Manabendra can be contacted via phone (814) 231-7000.

Contact Information

Primary practice address
1800 E Park Ave State College PA 16803-6709
Phone: (814) 231-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD064993L Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD064993L Pennsylvania

Profile Details

NPI number 1902872138
LBN Legal business name Datta, Manabendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 25th, 2020 - about 4 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 1902872138 NPPES
Pennsylvania MEDICAID 001717341

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