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Contact Information

ANKUR DATTA, MD
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY40207-4725
 Phone: 502-896-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANKUR DATTA · (Male)

NPI Number 1750553665
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2008
Last updated 09/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.128019
  • KY License # 58279
  • IL Medicaid 036.128019
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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