Individual
DR. SAMIT K DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6113
(360) 814-6111
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00000
NY
207RG0100X
Gastroenterology Physician
67100-20
WI
207RG0100X
Gastroenterology Physician
Primary
MD61119338
WA
Other
Enumeration date
05/14/2014
Last updated
08/16/2021
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