Raktima Datta, MD
Student in an Organized Health Care Education/Training Program in Cleveland, OH. Individual provider (NPI-1).
NPI number1962080804
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1962080804
- Entity type
- Individual (NPI-1)
- Name
- Miss Raktima Datta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
11100 Euclid AveCleveland, OH 44106-1716
Phone 615-574-5963
Mailing address
11100 Euclid AveCleveland, OH 44106-1716
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