Individual
MR. CHINMAY KUMAR DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20045 BLUFF OAK BLVD, TAMPA, FL 33647
(304) 841-1178
Mailing address
20045 BLUFF OAK BLVD, TAMPA, FL 33647
(304) 841-1178
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME106260
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
WV11077
WV
Other
Enumeration date
05/04/2006
Last updated
03/07/2023
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