Search › Pennsylvania › 2084N0400X
Tara Dutta, M.D
NPI 1679700900 · on the registry since 2009
Practice
- Address
- 1695 Roosevelt Ave Ste B
York, PA 17408 - Phone
- (717) 851-5503
- Fax
- (717) 798-3510
- Organisation at this address
- Cannon Dialysis Llc
Wellspan Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 1520 San Pablo St, Los Angeles, CA
- 228 Saint Charles Way Ste 200, York, PA
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084N0400X
207R00000X
2084N0400X - Licence states on file
- PA, MD, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania