# DR. RAJIV DATTATREYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801820113
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | L0117 | TX | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | L0117 | TX | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 12/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0375503 04 | — | TX |
| 05 | — | 037550303 | — | TX |
| 01 | — | 8 M2063 | BC/BS | — |
| 01 | — | 8J7489 | MEDICARE NUMBER | TX |
| 01 | — | 8L10293 | MEDICARE PTAN | TX |