| Vishal Datta MD PA | |
|
1 Ashwood Ln Malvern PA 19355-9000 | |
| (202) 834-2551 | |
| (331) 204-0812 |
| Full Name | Vishal Datta MD PA |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Ashwood Ln, Malvern, Pennsylvania |
| Authorized Official Name and Position | Vishal Datta (PRESIDENT) |
| Authorized Official Contact | 2028342551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vishal Datta MD PA 1 Ashwood Ln Malvern PA 19355-9000 Ph: (202) 834-2551 | Vishal Datta MD PA 1 Ashwood Ln Malvern PA 19355-9000 Ph: (202) 834-2551 |
| NPI Number | 1235317850 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235317850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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