GAURAV DATTA

ELK GROVE, CA
NPI1225184765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  c153705)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WI  51523-20)
208M00000X Hospitalist
(Licence: WI  51523-020)
Enumeration Date2007-01-26
Last Update Date2023-01-12
Business Address
GAURAV DATTA MD
7510 FORTALEZA AVE
ELK GROVE, CA 95757-1769
Phone number: 414-336-8677
Mailing Address
GAURAV DATTA MD
7510 FORTALEZA AVE
ELK GROVE, CA 95757-1769
Phone number: 414-336-8677