Individual
SANJIT K DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 N JEFFERSON LN, SPOKANE, WA 99201-7104
(509) 624-0111
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 624-0111
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00049435
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00049435
WA
208M00000X
Hospitalist Physician
MD00049435
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405796
MEDICA
—
01
—
1034961
PREFERREDONE
—
01
—
1875555
AMERICAS PPO
—
01
—
23358
ND BC
ND
01
—
595S1DU
MN BC
—
05
—
889696800
—
MN
01
—
HP39094
HEALTHPARTNERS
—
01
—
P00033177
MN RR
—
Enumeration date
07/14/2006
Last updated
05/17/2021
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