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1740400191
VIVEKANAND DATTA
LOS ANGELES, CA
NPI
1740400191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TN 390200000X)
Enumeration Date
2007-04-26
Last Update Date
2009-07-13
Business Address
-- VIVEKANAND DATTA MD PhD
8700 BEVERLY BLVD. CEDAR SINAI
LOS ANGELES, CA 90048
Phone number: 310-423-6941
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Mailing Address
-- VIVEKANAND DATTA MD PhD
11767 SKYLARK RD
CLARKSBURG, MD 20871
Phone number: 901-786-4755
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