Resham Datta, MD
Pain Medicine, Interventional Pain Medicine in Pittsford, NY. Individual provider (NPI-1).
NPI number1902242597
StatusActive
Last updated in NPPESOct 30, 2022
Details
- NPI
- 1902242597
- Entity type
- Individual (NPI-1)
- Name
- Resham Datta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2013
- Certification date
- Oct 30, 2022
- Last updated
- Oct 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | ME142272 | FL | Yes |
| 207L00000X | Anesthesiology | 58003 | MN | |
| 207LP2900X | Anesthesiology, Pain Medicine | ME142272 | FL |
Other names
- Resham Mehortra (Other Name)
Practice location
110 Beech Hill CresPittsford, NY 14534-4213
Phone 516-749-2121
Mailing address
110 Beech Hill CresPittsford, NY 14534-4213
Phone 516-749-2121
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