Datta, Vishal

Datta, Vishal is an sole proprietor health care provider with primary practice located at 100 Market St Ste 300 , Collegeville PA 19426-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Datta, Vishal can be contacted via phone (215) 997-9441.

Contact Information

Primary practice address
100 Market St Ste 300 Collegeville PA 19426-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD417796 Pennsylvania

Profile Details

NPI number 1982654489
LBN Legal business name Datta, Vishal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated May 3rd, 2023 - about 2 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 1982654489 NPPES
Maryland MEDICAID 410988101

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