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Contact Information

NAND S DATTA, MD
5750 DOWNEY AVENUE
SUITE #100
LAKEWOOD, CA90712
 Phone: 562-630-5870
 Fax: 562-496-3595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NAND S DATTA · (Male)

NPI Number 1164507356
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A25155
  • CA Medicaid 00A251550
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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