Deepa Dutta, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Baltimore, MD. Individual provider (NPI-1).
NPI number1124122676
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124122676
- Entity type
- Individual (NPI-1)
- Name
- Deepa Dutta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | D0019514 | MD | Yes |
Practice location
3455 Wilkens Ave Ste 208Baltimore, MD 21229-5265
Phone 410-644-4320
Mailing address
3455 Wilkens Ave Ste 208Baltimore, MD 21229-5265
Phone 410-644-4320
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