Chinmay Kumar Datta, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

ME106260 Issued in FL

Practice address

20045 Bluff Oak Blvd
Tampa, FL 33647

Phone

(304) 841-1178

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356399216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20045 BLUFF OAK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "304-841-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 BLUFF OAK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "304-841-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "CHINMAY",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WV",
            "license": "WV11077",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "ME106260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Gail Dash, BA, MS
• Peter M Dashko, D.O.
• Isabella Dasilva Salas
• Salman Kaleem Dasti, MD
• Katherine Nicole Dates
• Dayna Datta
• Don Dau
• Steven Dau, DMD MS PA
• Adil Daud, MD
• Patrick Rodney Daugereaux, LMT

• Clinical Pathology/Laboratory Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.