Sukthanker, Neeta Dattoba

Sukthanker, Neeta Dattoba is an individual health care provider with primary practice located at 1000 Medical Center Blvd Inpatient Medical Group, Lawrenceville GA 30046-7694. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Sukthanker, Neeta Dattoba can be contacted via phone (678) 312-3273.

Contact Information

Primary practice address
1000 Medical Center Blvd Inpatient Medical Group Lawrenceville GA 30046-7694
Phone: (678) 312-3273
Fax: (678) 312-3282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 049208 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 049208 Georgia

Profile Details

NPI number 1790711265
LBN Legal business name Sukthanker, Neeta Dattoba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Feb 24th, 2021 - about 4 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 1790711265 NPPES
Georgia MEDICAID 000897938E

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