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Contact Information

ANANDITA A DATTA, MD
4801 TESLA DR STE H
BOWIE, MD20715-4327
 Phone: 301-464-0603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ANANDITA A DATTA · (Female)

NPI Number 1922030477
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 07/23/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD036064
  • MD License # D70018
  • NC License # 2005-00431
  • DC Other 7592 - 0003 CAREFIRST
  • DC Other N358 - 0003 CAREFIRST
  • DC Other W247 - 0003 CAREFIRST
  • MD Other 5184GE - 96812201 CAREFIRST
  • MD Other 7795VA - 96812202 CAREFIRST
  • MD Other F830JM - 96812203 CAREFIRST
  • MD Other 132796 - 191662ZAYC MEDICARE
  • MD Other 5184 - 191662YB84 MEDICARE
  • MD Other 7797 - 191662YB8 MEDICARE
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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