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ELLEN J. DUTTA MD PA NPI 1093988685


NPI Information

NPI: 1093988685
Provider Name: ELLEN J. DUTTA, MD, PA
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
16901 DALLAS PKWY
SUITE 206
ADDISON, TX
ZIP 75001
Phone: (972) 250-4016
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ELLEN J. DUTTA, MD, PA is an allergy immunology in Addison, TX. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ELLEN J. DUTTA, MD, PA NPI is 1093988685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16901 DALLAS PKWY
SUITE 206
ADDISON, TX
ZIP 75001-226
Phone: (972) 250-4016
Fax: (972) 250-4017

The provider's authorized official is Ellen Joy Dutta .
The authorized official title is Owner and has the following contact phone number (972) 250-4016.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/4/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyL2872TEXASYes

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: 5/5/2024

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