SUDIP DATTA MD – NPI #1366678567
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

SUDIP DATTA is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1366678567 to SUDIP DATTA on June 02, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Aug 14, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUDIP DATTA below.

NPI Profile for
SUDIP DATTA

NPI Number
1366678567
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SUDIP DATTA
Credentials
MD
Primary location
639 TANYA COURT DR
SAINT LOUIS, MO 63129-2555
Phone: (270) 804-8025 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MO 2012029909
207UN0901X
- Nuclear Medicine / Nuclear Cardiology
KY TP647
207R00000X
- Internal Medicine
KY TP647

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.