Dattatreya, Rajiv
Dattatreya, Rajiv is an individual health care provider with primary practice located at 10260 N Central Expy Ste 100N , Dallas TX 75231-3437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Dattatreya, Rajiv can be contacted via phone (214) 363-5535.Contact Information
Primary practice address
10260 N Central Expy Ste 100N
Dallas TX 75231-3437
Phone: (214) 363-5535
Fax: (214) 368-2760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | L0117 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L0117 | Texas |
Profile Details
| NPI number | 1801820113 |
|---|---|
| LBN Legal business name | Dattatreya, Rajiv |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 13th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801820113 | NPPES |
| Texas | MEDICAID | 0375503 04 | |
| Texas | Other | 8 M2063 | |
| Texas | MEDICAID | 037550303 | |
| Texas | Other | 8J7489 | |
| Texas | Other | 8L10293 |
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