Gaurav Datta Md Inc in Elk Grove, CA - Medicare Internal Medicine

Gaurav Datta Md Inc is a medicare enrolled primary clinic (Internal Medicine) in Elk Grove, California. The current practice location for Gaurav Datta Md Inc is 7510 Fortaleza Ave, Elk Grove, California. For appointments, you can reach them via phone at (414) 336-8677. The mailing address for Gaurav Datta Md Inc is 7510 Fortaleza Ave, Elk Grove, California and phone number is (414) 336-8677.

Gaurav Datta Md Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033735931. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 336-8677.

Contact Information

	Gaurav Datta Md Inc
	7510 Fortaleza Ave Elk Grove CA 95757-1769
	(414) 336-8677
	(925) 954-6958

Map and Direction

Primary Care Clinic Profile

Full Name	Gaurav Datta Md Inc
Speciality	Internal Medicine
Location	7510 Fortaleza Ave, Elk Grove, California
Authorized Official Name and Position	Gaurav Datta (OWNER)
Authorized Official Contact	4143368677
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gaurav Datta Md Inc 7510 Fortaleza Ave Elk Grove CA 95757-1769 Ph: (414) 336-8677	Gaurav Datta Md Inc 7510 Fortaleza Ave Elk Grove CA 95757-1769 Ph: (414) 336-8677

NPI Details:

NPI Number	1033735931
Provider Enumeration Date	06/17/2020
Last Update Date	01/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9234551920
Medicare Enrollment ID	O20200625002405

Medical Identifiers

Medical identifiers for Gaurav Datta Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033735931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary
282N00000X	General Acute Care Hospital	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gaurav Datta Md Inc acts as a billing entity for following providers:

Provider Name	Gaurav Datta
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1225184765 PECOS PAC ID: 7113093055 Enrollment ID: I20180822001727

Reviews and Comments

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Gaurav Datta Md Inc - Medicare Primary Care in Elk Grove, CA