Dutta, Deepa

Dutta, Deepa is an individual health care provider with primary practice located at 3455 Wilkens Ave Ste 208 , Baltimore MD 21229-5265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dutta, Deepa can be contacted via phone (410) 644-4320.

Contact Information

Primary practice address
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265
Phone: (410) 644-4320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D0019514 Maryland

Profile Details

NPI number 1124122676
LBN Legal business name Dutta, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124122676 NPPES
Maryland Other 61489901 BLUE SHIELD
Maryland Other W2270017 BLUE SHIELD

Popular Providers