Dutta, Monisha
Dutta, Monisha is an individual health care provider with primary practice located at 880 Madison Avenue , Memphis TN 38103-3409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Dutta, Monisha can be contacted via phone (901) 545-6969.Contact Information
Primary practice address
880 Madison Avenue
Memphis TN 38103-3409
Phone: (901) 545-6969
Fax: (901) 515-4748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 45641 | Tennessee |
Profile Details
| NPI number | 1164634978 |
|---|---|
| LBN Legal business name | Dutta, Monisha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Feb 14th, 2017 - about 8 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 | 1164634978 | NPPES |
| Tennessee | MEDICAID | 1522219 |
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