Dr Sudhir K Dutta, MD | |
4924 Campbell Blvd Ste 205, Nottingham, MD 21236-5914 | |
(410) 614-5127 | |
(410) 616-7651 |
Full Name | Dr Sudhir K Dutta |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 53 Years |
Location | 4924 Campbell Blvd Ste 205, Nottingham, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245280544 | NPI | - | NPPES |
CB9279 | Other | MD | R/R MEDICARE GROUP # |
371011400 | Medicaid | MD | |
100006730 | Other | MD | R/R MEDICARE PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D17622 (Maryland) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | D17622 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
Peninsula Regional Medical Center | Salisbury, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sinai Hospital Of Baltimore, Inc | 0941112346 | 324 |
Tidalhealth Specialty Care Llc | 7113340845 | 192 |
Entity Name | Sinai Hospital Of Baltimore, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353 |
Entity Name | Tidalhealth Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
Mailing Address | Practice Location Address |
---|---|
Dr Sudhir K Dutta, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423 | Dr Sudhir K Dutta, MD 4924 Campbell Blvd Ste 205, Nottingham, MD 21236-5914 Ph: (410) 614-5127 |
Dr. Marcea Burnette Whitaker, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236 Phone: 410-933-7600 | |
Rabiya Noor, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236 Phone: 443-442-2300 | |
Dr. Meeta Gulati, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600 | |
Dr. Sharon P Dlhosh, MD, MPH Gastroenterology Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 443-442-2360 | |
Dr. Fernando Alfonso Delgado, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 41 Locust Path Ct, Nottingham, MD 21236 Phone: 202-689-5548 | |
Dr. David Madder, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 443-442-2360 |