Vishal Datta MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VISHAL DATTA MD PA

Practice address

1 Ashwood LN
Malvern, PA 19355-9000

Phone

(202) 834-2551

Fax

(331) 204-0812

NPI assigned

Feb 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vishal Datta, M.D.

Title

President

Phone

(202) 834-2551

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1235317850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASHWOOD LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559000",
            "telephone_number": "202-834-2551",
            "fax_number": "331-204-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASHWOOD LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559000",
            "telephone_number": "202-834-2551",
            "fax_number": "331-204-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHAL DATTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-834-2551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Malvern, PA
• Providers in Malvern, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.