Individual
DR. SURESH V DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 NW LOOP 410, SUITE 100D, SAN ANTONIO, TX 78213-2220
(210) 308-9999
(210) 308-6262
Mailing address
1010 NW LOOP 410, SUITE 100D, SAN ANTONIO, TX 78213-2220
(210) 308-9999
(210) 308-6262
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L1024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449803-02
—
TX
Enumeration date
04/14/2006
Last updated
12/31/2016
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