Dr Tara Lynne Mccolgin Dutta, MD | |
1520 San Pablo St, Suite 3000, Los Angeles, CA 90033-5310 | |
(323) 442-5710 | |
Not Available |
Full Name | Dr Tara Lynne Mccolgin Dutta |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1520 San Pablo St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679700900 | NPI | - | NPPES |
A127885 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | P24030 (Maryland) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | A127885 (California) | Primary |
Entity Name | University Of Maryland Neurology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811902489 PECOS PAC ID: 7810974649 Enrollment ID: O20040630000613 |
Mailing Address | Practice Location Address |
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Dr Tara Lynne Mccolgin Dutta, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5710 | Dr Tara Lynne Mccolgin Dutta, MD 1520 San Pablo St, Suite 3000, Los Angeles, CA 90033-5310 Ph: (323) 442-5710 |
Dr. Joshua Hyong-jin Cho, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ucla Medical Plz Ste 3200a, Los Angeles, CA 90095 Phone: 310-301-7396 Fax: 310-313-9247 | |
Dr. Shabnam Balali, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711 | |
Dr. Inna Keselman, M.D., PH.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plaza # B200, Los Angeles, CA 90095 Phone: 310-794-1195 Fax: 310-794-7491 | |
Dr. Melissa Nicole Sullivan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 760 Westwood Plz, Suite C8-222, Los Angeles, CA 90024 Phone: 310-825-9989 | |
Dr. Gary Pedneault, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7257 W Manchester Ave Apt 3, Los Angeles, CA 90045 Phone: 310-410-8266 | |
Nasheed Ishrat Jamal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Westwood Plz Rm 1-240, Los Angeles, CA 90095 Phone: 310-825-6681 | |
Sneha Venkatraman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 760 Westwood Plz Ste C8-193, Los Angeles, CA 90024 Phone: 424-325-8099 |