Individual
PRIYATA DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVE SE, HOSPITALIST, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-6125
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125
(505) 724-6124
(505) 724-6125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2025-0075
NM
Other
Enumeration date
04/14/2022
Last updated
06/20/2025
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