| Sujay Dutta, MD | |
|
2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360 | |
| (805) 495-1073 | |
| (805) 495-5836 |
| Full Name | Sujay Dutta |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 31 Years |
| Location | 2220 Lynn Rd, Thousand Oaks, California |
| 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 |
|---|---|---|---|
| 1184712168 | NPI | - | NPPES |
| 00G856740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G85674 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assisted Home Care | Northridge, CA | Home health agency |
| Los Robles Hospital & Medical Center | Thousand oaks, CA | Hospital |
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark H Mazur Md And Barry Statner Md A Professional Corporation | 1254373806 | 10 |
| Entity Name | Mark H Mazur Md & Barry Statner Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376631341 PECOS PAC ID: 1254373806 Enrollment ID: O20050524001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Sujay Dutta, MD 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360 Ph: (805) 495-1073 | Sujay Dutta, MD 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360 Ph: (805) 495-1073 |
Dr. Ishaque Ali Syed, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 619-573-4511 | |
Sidney George Iriana, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 317 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-557-9930 Fax: 805-557-9940 | |
Dr. Anthony Capparelli, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 375 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361 Phone: 805-497-7775 Fax: 805-557-1074 | |
John Y. Hess, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2220 Lynn Rd, 201, Thousand Oaks, CA 91360 Phone: 805-494-9494 Fax: 805-374-9994 | |
Dr. David Paul Pryor, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1683 Calle Rochelle, Thousand Oaks, CA 91360 Phone: 805-558-7059 | |
Dzenana Cabaravdic, MD Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-497-2727 | |
Dr. Saibal Kar, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 227 W Janss Rd Ste 340, Thousand Oaks, CA 91360 Phone: 805-852-9100 Fax: 805-852-9101 |