Dutta, Durba

Dutta, Durba is an individual health care provider with primary practice located at 3883 Airway Dr Ste 100 , Santa Rosa CA 95403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Dutta, Durba can be contacted via phone (707) 521-4480.

Contact Information

Primary practice address
3883 Airway Dr Ste 100 Santa Rosa CA 95403
Phone: (707) 521-4480
Fax: (707) 521-4460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G87087 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X RHL00161349 California

Profile Details

NPI number 1053342212
LBN Legal business name Dutta, Durba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 7th, 2023 - about last year

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 1053342212 NPPES
Other 3845061 CIGNA
Other G87087 CIGNA
Other RHL00161349 CIGNA

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