Provider Demographics
NPI:1609664218
Name:DUTT, SHREYA (MD)
Entity type:Individual
Prefix:
First Name:SHREYA
Middle Name:
Last Name:DUTT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLAT NO. 502, LILLY BLOCK, CASCADE GREENS APARTMENTS
Mailing Address - Street 2:NCL LANE, KOMPALLY
Mailing Address - City:HYDERABAD
Mailing Address - State:TELANGANA
Mailing Address - Zip Code:500100
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3080, COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-212-7729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program