Datta, Sudip

Datta, Sudip is an individual health care provider with primary practice located at 639 Tanya Court Dr , Saint Louis MO 63129-2555. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Datta, Sudip can be contacted via phone (270) 804-8025.

Contact Information

Primary practice address
639 Tanya Court Dr Saint Louis MO 63129-2555
Phone: (270) 804-8025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TP647 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X TP647 Kentucky
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X TP647 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2012029909 Missouri
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 2012029909 Missouri

Profile Details

NPI number 1366678567
LBN Legal business name Datta, Sudip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Aug 14th, 2013 - about 11 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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