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VASANT DATTA MD LLC NPI 1790860898


NPI Information

NPI: 1790860898
Provider Name: VASANT DATTA MD LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9727 PEMBROKE DR
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 675-1231
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VASANT DATTA MD LLC is a primary care clinic center in Hagerstown, MD. VASANT DATTA MD LLC NPI is 1790860898. The provider is registered as an organization entity type.

The provider's business location address is:

9727 PEMBROKE DR
HAGERSTOWN, MD
ZIP 21740-568
Phone: (240) 675-1231
Fax: (301) 714-0011

The provider's authorized official is Vasant Datta .
The authorized official title is M.d. and has the following contact phone number (301) 739-7100.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/23/2016.


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
1261QP2300XClinic/CenterPrimary CareD0018019MARYLANDYes

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: 4/28/2024

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