Dutta, Utpal Kanti

Dutta, Utpal Kanti is an individual health care provider with primary practice located at 130 Hospital Rd Ste 300 , Prince Frederick MD 20678-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dutta, Utpal Kanti can be contacted via phone (410) 535-4333.

Contact Information

Primary practice address
130 Hospital Rd Ste 300 Prince Frederick MD 20678-4057
Fax: (410) 535-3260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D70833 Maryland

Profile Details

NPI number 1649428897
LBN Legal business name Dutta, Utpal Kanti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Dec 6th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649428897 NPPES
Other 01366238 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 522300606 AMERIGROUP
Other 1649428897 AMERIGROUP
Other 1649428897 AMERIGROUP
Other F117 AND 0J48PA AMERIGROUP
Other 1649428897 AMERIGROUP
MEDICAID 418952301 AMERIGROUP

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