Individual
DR. SUBHAJIT DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302
(740) 383-7980
(740) 383-3040
Mailing address
3124 BEAN OLLER RD, DELAWARE, OH 43015-9220
(740) 369-6516
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
092044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020034670
RAILROAD MEDICARE
—
Enumeration date
04/17/2006
Last updated
04/05/2013
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