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1164634978
MONISHA DUTTA
MEMPHIS, TN
NPI
1164634978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TN 45641)
Enumeration Date
2007-05-04
Last Update Date
2017-02-14
Business Address
-- MONISHA DUTTA M.D.
880 MADISON AVENUE
MEMPHIS, TN 38103-3409
Phone number: 901-545-6969
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Mailing Address
-- MONISHA DUTTA M.D.
877 JEFFERSON AVENUE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-605-4516
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