Sandeep Datta, MD
Pain Medicine, Interventional Pain Medicine in Macon, GA. Individual provider (NPI-1).
NPI number1477546166
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1477546166
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sandeep Datta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2005
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 050473 | GA | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | 050473 | GA | |
| 207L00000X | Anesthesiology | 050473 | GA | |
| 208VP0000X | 050473 | GA |
Practice location
101 Preston CtSuite 103
Macon, GA 31210-5772
Phone 478-745-2385 · Fax 478-745-1225
Mailing address
101 Preston Ct Ste 103Macon, GA 31210-5771
Phone 478-745-2385 · Fax 478-745-1225
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