National Provider Identifier Database

RAJIV DATTA, MD – NPI #1457347601
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.


Contact Information

RAJIV DATTA, MD
1 S CENTRAL AVE
VALLEY STREAM, NY11580-5443
Phone: 516-632-3300
Fax: 516-632-3355
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for RAJIV DATTA

NPI Number 1457347601
Credentials MD
Entity Individual
Enumeration date 09/23/2005
Last updated 05/13/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 201327
  • NY Medicaid: 01621461
Hospital affiliation n/a

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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