Individual
ISHAAN DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(434) 592-6400
Mailing address
31087 INVERNESS CIR, WESTLAKE, OH 44145-1897
(216) 469-3323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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