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Dr. Durba Dutta, MD
Diagnostic Radiology Physician in Santa Rosa, California
NPI 1053342212

Durba Dutta is a Diagnostic Radiology Physician based in Los Altos, CA and is specialized in Diagnostic Radiology. Durba Dutta practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Durba Dutta is 1053342212 and holds a License No. G87087 (California).

The current practice location address for Durba Dutta is 3883 Airway Dr Ste 100, Santa Rosa, CA and can be reached out via phone at 707-521-4480 and via fax at 707-521-4460.

Location: 3883 Airway Dr Ste 100, Santa Rosa, CA, 94002-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053342212
Provider Name
Durba Dutta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3883 Airway Dr Ste 100, Santa Rosa, CA, 94002-1408
Phone Number
707-521-4480
Fax Number
707-521-4460
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3845061 01 CIGNA
G87087 01 CA STATE MEDICAL LICENSE
RHL00161349 01 CA CALIFORNIA XRAY BOARD
institution
Provider Business Practice Location Address Details
Address
3883 Airway Dr Ste 100
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-521-4480
Fax Number
707-521-4460
person
Provider Business Mailing Address Details
Address
3883 Airway Dr Ste 100
City
Santa Rosa
State
California
Zip
95403
Phone Number
707-521-4480
Fax Number
707-521-4460
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
RHL00161349 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G87087 (California)
Definition
Definition to come...
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