Meenakshi Dutta M.D.

NPI 1407020746 - Pediatrics - 208000000X

NPI Details
NPI 1407020746
Gender Female
Enumeration Date 04/17/2008
Last Updated 05/17/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
57 JESSAMINE AVE
GEORGETOWN SC, 29440-5837, US
Phone (843) 546-8686
Fax
Business Location
12600 ROBLE LADERA RD
LOS ALTOS HILLS CA, 94022-2532, US
Phone (504) 717-6161
Fax
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number PGY.1.TUL-PED
Remove 1407020746 NPI Number
 

According to our database, Dr. Meenakshi Dutta M.D. NPI is 1407020746, taxonomy code is 208000000X and license number is PGY.1.TUL-PED, license state is located at Louisiana. Meenakshi Dutta M.D. physically located at 57 Jessamine Ave, Georgetown SC, 29440-5837. NPI Number Meenakshi Dutta M.D. has the Individual type.

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1407020746 NPI number is provided on an as is basis without warranty of any kind. 1407020746 is maintained by the National Plan & Provider Enumeration System. The contents of Meenakshi Dutta M.D. are for informational purposes only.