Individual provider · Type 1 NPI
Sudip Datta, MD
Cardiovascular Disease Physician · St. Louis, MO
NPI number
1366678567
Active
Practice location
639 Tanya Court Dr
St. Louis, MO 63129-2555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | TP647 (KY) |
| Cardiovascular Disease Physician | 207RC0000X | TP647 (KY) |
| Nuclear Cardiology Physician | 207UN0901X | TP647 (KY) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 2012029909 (MO) |
| Nuclear Cardiology Physician | 207UN0901X | 2012029909 (MO) |
Cardiovascular Disease Physician: 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.
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- Christopher L. Holley, MD PHDCardiovascular Disease Physician St. Louis, MO NPI 1033246764
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About NPI 1366678567
Sudip Datta, MD's National Provider Identifier is 1366678567, issued on Jun 2, 2009. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 14, 2013.