Individual
DR. SUDIPTA DEVANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101270620
VA
208M00000X
Hospitalist Physician
0101270620
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2017
Last updated
09/20/2024
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