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Contact Information

MOHIT DATTA, MD
4420 LAKE BOONE TRL
RALEIGH, NC27607-7505
 Phone: 919-784-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MOHIT DATTA · (Male)

NPI # 1720217102
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2009
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME138305
  • GA License # 81941
  • MI License # 4301117143
  • NC License # 2019-00038
  • OH License # 35126647
  • SC License # 34519
  • OH Medicaid 0135117
  • SC Medicaid 345193
Hospital affiliation(s)
  • PALMETTO HEALTH RICHLAND - (Acute Care)
    5 RICHLAND MEDICAL PARK
    COLUMBIA, SC 29203
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
  • VIDANT MEDICAL CENTER - (Acute Care)
    2100 STANTONSBURG RD
    GREENVILLE, NC 27834
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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