Individual
DR. DURBA DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RHL00161349
CA
208D00000X
General Practice Physician
G87087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3845061
CIGNA
—
01
—
G87087
STATE MEDICAL LICENSE
CA
01
—
RHL00161349
CALIFORNIA XRAY BOARD
CA
Enumeration date
07/06/2006
Last updated
03/07/2023
Update your record
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