Individual
DR. RAHUL DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(033) 671-0423
(336) 716-5537
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(033) 671-0423
(336) 716-5537
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
A186651
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
06/16/2023
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