Dutta, Sujay
Dutta, Sujay is an individual health care provider with primary practice located at 2220 Lynn Rd Suite 301, Thousand Oaks CA 91360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dutta, Sujay can be contacted via phone (805) 495-1073.Contact Information
Primary practice address
2220 Lynn Rd Suite 301
Thousand Oaks CA 91360
Phone: (805) 495-1073
Fax: (805) 495-5836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G85674 | California |
Profile Details
| NPI number | 1184712168 |
|---|---|
| LBN Legal business name | Dutta, Sujay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 17th, 2008 - about 16 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 | 1184712168 | NPPES |
| California | MEDICAID | 00G856740 |
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