Purnendue P Datta MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01030095 Issued in IN

Legal business name

PURNENDUE P DATTA MD

Practice address

212 E 10TH St
Greensburg, IN 47240-8249

Phone

(812) 663-5933

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Purnendue P Datta, MD

Title

Owner

Phone

(812) 663-5933

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purnendu Prakish Datta, MD

  • Internal Medicine Physician
  • Greensburg, IN
  • NPI 1164420238
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295830420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-6319",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 10TH ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472408249",
            "telephone_number": "812-663-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNENDUE P DATTA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "PURNENDUE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-663-5933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly M Pray, REGISTERED DIETICIAN
• Beth Ann Preston, RPH
• Jill Marie Prickel
• Providers for Autism Treatment and Habilitation
• Kelsey Puckett, OTR
• Quinco Consulting Center Inc
• Quinco Consulting Center Inc
• Amber Dawn Raeth, NP
• Karen Gerri Raver, NP-C
• Jami Beth Rayles, M.D.

• Internal Medicine Physician in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.