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OM DATTA PLLC NPI 1952875064


NPI Information

NPI: 1952875064
Provider Name: OM DATTA PLLC

Doing Business As: TX PRIMARY CARE PLUS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 45D2228447

Address:
5040 TENNYSON PKWY
PLANO, TX
ZIP 75024
Phone: (469) 476-7810
Get Directions

OM DATTA PLLC is a geriatric medicine internal medicine in Plano, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. OM DATTA PLLC NPI is 1952875064. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tx Primary Care Plus.

The provider's business location address is:

5040 TENNYSON PKWY
PLANO, TX
ZIP 75024-002
Phone: (469) 476-7810
Fax: (469) 574-7840

The provider's authorized official is Venkatesh Madhav .
The authorized official title is Manager and has the following contact phone number (469) 476-7810.

The CLIA number assigned to this NPI record is 45D2228447 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2019 and was last updated on 7/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.