DR. MONIDEEP DUTT (NPI# 1285925917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285925917 |
| Entity Type | Individual |
| Full Name | DR. MONIDEEP DUTT |
| Credential | M.D. |
| Practice Address |
725 Albany St Shapiro 7 Suite Boston MA 02118-2526 |
| Mailing Address |
975 Johnson Fy Rd Ne Atlanta GA 30342-1619 |
| Practice Telephone | 6176388456 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
79657 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
725 ALBANY ST SHAPIRO 7 SUITE |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389565 | Amitabh Gautam | Transplant Surgery | 725 Albany St, Shapiro 7th Floor, Suite 7a, Boston, MA 02118-2526 | 2005-07-14 |
| 1679186381 | Rachel Brigell Kearney | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-08-24 |
| 1588292767 | Karishma Pareek | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-04-01 |
| 1912535238 | Rebecca Zoe Steuer | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-31 |
| 1316574676 | Jasmine Vakhshoorzadeh | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-26 |
| 1700413176 | Ava Bakhtyari | Student in an Organized Health Care Education/Training Program | 725 Albany St, Precepting Room, Boston, MA 02118-3549 | 2020-03-25 |
| 1477180800 | Jacqueline Dinh | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-25 |
| 1114554821 | Nina Victoria Abon | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-24 |
| 1225665839 | Konstantinos Christos Hantzidiamantis | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-24 |
| 1790312668 | Leonie Hoyo | Student in an Organized Health Care Education/Training Program | 725 Albany St, Boston, MA 02118-3549 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548508252 | Adriana Mendez Sanchez | Psychiatry & Neurology | 771 Albany Street Boston Medical Center Child Neurology, Dowling 3 South Rm 3314, Boston, MA 02118 | 2013-01-30 |
| 1124082714 | Rebeca N Alvareza-altalef | Psychiatry & Neurology | 750 Washington St # 330, Boston, MA 02111-1526 | 2006-04-12 |
| 1982670535 | Elizabeth Anne Thiele | Psychiatry & Neurology | 55 Fruit St Yaw 6b, Pediatric Neurology, Boston, MA 02114 | 2006-02-24 |
| 1205480043 | Lauren Sham | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-07-30 |
| 1386164101 | Ashley Weng | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111 | 2017-06-22 |
| 1891148854 | Jose Ildefonso Rodriguez Moreno | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2016-07-14 |
| 1245680123 | Sonali Sharma | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2016-06-21 |
| 1619361672 | Agnieszka Kielian | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-03-26 |
| 1821406232 | Ivan Sanchez Fernandez | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-07-29 |
| 1366860173 | Joshua Tyler August | Psychiatry & Neurology | 1 Boston Medical Ctr Pl, Department of Pediatrics, Dowling 3 South, Boston, MA 02118-2908 | 2014-03-31 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.