DR. SANJEEV DUTTA MD MA FRCSC NPI 1659452720

NPI Information

NPI: 1659452720
Provider Name: DR. SANJEEV DUTTA, MD MA FRCSC
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
780 WELCH ROAD STE 206
STANFORD, CA
ZIP 94305
Phone: (650) 723-6439
Get Directions

DR. Sanjeev Dutta, MD MA FRCSC is a pediatric surgery surgery in Stanford, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Sanjeev Dutta, MD MA FRCSC NPI is 1659452720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

780 WELCH ROAD STE 206
STANFORD, CA
ZIP 94305
Phone: (650) 723-6439

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

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
1	2086S0120X	Surgery	Pediatric Surgery	A88168	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A881680	OTHER	CALIFORNIA	MEDICAL
2	OTH000	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

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