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SUDIP DATTA MD
NPI 1366678567
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since June 02, 2009
639 TANYA COURT DR, SAINT LOUIS, MO 63129(270) 804-8025 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudip Datta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDIP DATTA MD (NPI 1366678567) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (2012029909) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1366678567
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSUDIP DATTACredential: MD
Location Address639 TANYA COURT DRSaint Louis, MO 63129-2555
Mailing Address639 Tanya Court DrSaint Louis, MO 63129-2555 · (270) 804-8025
Phone(270) 804-8025
Sole ProprietorNo
Enumeration DateJune 2, 2009
Last NPPES UpdateAugust 14, 2013
✔ NPI 1366678567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MO · 2012029909✔ Licensed in KY · TP647
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License TP647 (KY)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License TP647 (KY), 2012029909 (MO)
639 TANYA COURT DR, Saint Louis, MO 63129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudip Datta's NPI number?

The NPI number for Sudip Datta is 1366678567. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Sudip Datta located?

Sudip Datta practices at 639 Tanya Court Dr, Saint Louis, MO 63129. The listed phone number is (270) 804-8025.

What is Sudip Datta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Sudip Datta was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.