Dr. Monideep Dutt
Child Neurologist
725 Albany St Shapiro 7 Suite
Boston
, Massachusetts 02118-2526
Dr. Monideep Dutt
Child Neurologist
725 Albany St Shapiro 7 Suite
Boston
, Massachusetts 02118-2526
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Monideep Dutt
- 975 Johnson Fy Rd Ne
- Atlanta, GA
- Zip : 30342-1619
- Phone :
Second Address
- Dr. Monideep Dutt
- 725 Albany St Shapiro 7 Suite
- Boston, MA
- Zip : 02118-2526
- Phone : (617) 638-8456
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 79657 | GA |
National Provider Identifier
| NPI | 1285925917 |
|---|---|
| Provider Name | Dr. Monideep Dutt |
| First Address | Atlanta, GA 30342-1619 |
| Second Address | Boston, MA 02118-2526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2011 |
| Last Update Date | 09/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.