Individual
DR. SIMANTA DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
844 KEMPSVILLE RD STE 212, NORFOLK, VA 23502-3927
(757) 261-5977
(757) 275-9913
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-5599
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101278090
VA
207RP1001X
Pulmonary Disease Physician
0101278090
VA
207RP1001X
Pulmonary Disease Physician
2011-00997
NC
208M00000X
Hospitalist Physician
2011-00997
NC
Other
Enumeration date
03/31/2011
Last updated
01/17/2024
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