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Contact Information

DEEPA DUTTA, MD
3455 WILKENS AVE STE 208
BALTIMORE, MD21229-5265
 Phone: 410-644-4320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DEEPA DUTTA · (Male)

NPI Number 1124122676
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0019514
  • DC Other W2270017 GHI
  • MD Other 61489901 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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