Provider Demographics
NPI:1316675275
Name:DATTA CONSULTANTS LLC
Entity type:Organization
Organization Name:DATTA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-548-0184
Mailing Address - Street 1:132 ROSALIE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3153
Mailing Address - Country:US
Mailing Address - Phone:617-548-0184
Mailing Address - Fax:617-609-7636
Practice Address - Street 1:132 ROSALIE RD
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-3153
Practice Address - Country:US
Practice Address - Phone:617-548-0184
Practice Address - Fax:617-609-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty