Suparna Dutta
Medical Specialty
Professional ID
- NPI: 1275611048
- PECOS ID: 7214111319
- Enrollment ID: I20110414000499
- Credential(MD, DO, DPM):
- Medical School: University Of Missouri Kansas City School Of Medicine
- Medical School Graduation Year: 1996
Medical Practices
- Organization Name: Permanente Medical Group Inc
- Group Practice ID assigned by PECOS: 8921910225
- Number of Group Practice member: 7735
Location
- Address1: 901 Nevin Ave
- Address2:
- City: Richmond
- State: California
- Zip Code: 94801
- Phone Number: (510)307-1500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):