Search › California › 207R00000X
Gaurav Datta, MD
NPI 1225184765 · on the registry since 2007
Practice
- Address
- 7510 Fortaleza Ave
Elk Grove, CA 95757 - Phone
- (414) 336-8677
- Fax
- (925) 954-6958
- Organisation at this address
- Gaurav Datta Md Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- WI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California