Mohamed R. Dattu is a Psychiatry in Haverford, Pennsylvania. Mohamed R. Dattu practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mohamed R. Dattu is 1821028119. The last update date is 2018-03-17.
Mohamed R. Dattu's current location address is 600 Haverford Rd, Haverford, Pennsylvania. You can contact this provider via phone number 7242884007 and fax number 4122060128. The mailing address for Mohamed R. Dattu is 600 Haverford Rd, Haverford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mohamed R. Dattu |
|---|---|
| Address | 600 Haverford Rd, Haverford, Pennsylvania |
| Phone Number | 7242884007 |
| Fax Number | 4122060128 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821028119 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 600 Haverford Rd |
|---|---|
| City | Haverford |
| State | Pennsylvania (PA) |
| Post Code | 19041 |
| Phone Number | 7242884007 |
| Fax Number | 4122060128 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD421369 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1588952 | PA | HIGHMARK |
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What is the unique identifier code issued to Mohamed R. Dattu by the Centers for Medicare & Medicaid Services?
The Mohamed R. Dattu has been assigned the NPI (National Provider Identifier) 1821028119. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mohamed R. Dattu?
The Mohamed R. Dattu is situated at 600 Haverford Rd, in the city of Haverford, state of PA, with the zip code 19041.
What is Mohamed R. Dattu's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mohamed R. Dattu's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821028119 to Mohamed R. Dattu?
The Centers for Medicare & Medicaid Services originally issued the 1821028119 to Mohamed R. Dattu on 2006-07-03.
As of what date were the details related to Mohamed R. Dattu most recently updated or revised?
The information pertaining to Mohamed R. Dattu, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-17.