Individual
SUDARSHANA DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 J DEWEY GRAY CIR STE 202, AUGUSTA, GA 30909-6554
(706) 863-8155
(706) 863-8175
Mailing address
3623 J DEWEY GRAY CIR STE 202, AUGUSTA, GA 30909-6554
(706) 863-8155
(706) 863-8175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.247773
OH
207RI0011X
Interventional Cardiology Physician
Primary
104930
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
05/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us