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Organization
P.C.DUTTA,M.D.,P.A.
Active
Organization
P.C.DUTTA,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARITOSH CHANDRA DUTTA M.D. (PRESIDENT)
(972) 238-9065
Entity
Organization
Contact information
Practice address
275 W CAMPBELL RD, RICHARDSON, TX 75080-3601
(972) 238-9065
Mailing address
275 W CAMPBELL RD, RICHARDSON, TX 75080-3601
(972) 238-9065
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E 7900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2287642
BCBS BLUE LINK
TX
01
—
2892757001
CIGNA PAL
TX
01
—
4063099
AETNA
TX
01
—
8BC670
BCBS
TX
01
—
B87642
UPIN
TX
Enumeration date
04/01/2008
Last updated
05/09/2008
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