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Contact Information

SHOURIK DUTTA, MD
1201 S GRAND BLVD
SAINT LOUIS, MO63104-1016
 Phone: 314-617-3748
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SHOURIK DUTTA · (Male)

NPI Number 1275103780
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2021
Last updated 04/24/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021019663
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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