National Provider Identifier
Shruti Datta, M.D.
Shruti Datta, M.D. is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 922-0393.
Profile Overview
- NPI
- 1366643090
- Provider Type
- Individual
- Primary Specialty
- Geriatric Medicine (Internal Medicine) Physician
- Enumeration Date
- May 30, 2007
- Last Updated
- December 15, 2021
Practice Location
- 1415 Portland Ave
- Rochester, NY 14621-3038
Phone: (585) 922-0393
Specialties
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Internal Medicine Physician (207R00000X)
- Psychiatry Physician (2084P0800X)
Endpoints
- https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Soap Url | Health Information Exchange (Hie) | Other | The Permanente Medical Group | Walnut Creek, CA 94598
Carequality
Full Record
- NPI
- 1366643090
- Entity Type
- Individual
- Last Name
- Datta
- First Name
- Shruti
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1415 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3038
- Mailing Country
- US
- Mailing Phone
- (585) 922-0393
- Mailing Fax
- (585) 922-0395
- Practice Street Address
- 1415 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-0393
- Practice Fax
- (585) 922-0395
- Enumeration Date
- May 30, 2007
- Last Updated
- December 15, 2021
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Internal Medicine Physician (207R00000X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 03299878 (NY), ENROLLED (IA), ENROLLED (MN)