| Gaurav Datta Md Inc | |
|
7510 Fortaleza Ave Elk Grove CA 95757-1769 | |
| (414) 336-8677 | |
| (925) 954-6958 |
| 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 | 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 Number | 1033735931 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 9234551920 |
|---|---|
| Medicare Enrollment ID | O20200625002405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033735931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Gaurav Datta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225184765 PECOS PAC ID: 7113093055 Enrollment ID: I20180822001727 |
Telemd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9045 Bruceville Rd Ste 100, Elk Grove, CA 95758 Phone: 916-479-9110 | |
Regents Of The University Of California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8110 Laguna Blvd, Elk Grove, CA 95758 Phone: 916-683-3950 | |
Laguna Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758 Phone: 916-691-4300 | |
Benjamin Green Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Laguna Springs Dr, Suite 200, Elk Grove, CA 95758 Phone: 206-624-6050 Fax: 206-838-3085 | |
Quality Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10040 Bruceville Rd, Suite 160, Elk Grove, CA 95757 Phone: 916-706-0416 Fax: 916-706-0458 | |
Kujok Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10064 Bruceville Rd Ste 140b, Elk Grove, CA 95757 Phone: 916-472-0317 |