Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gaurav Datta MD Inc

Organization Internal Medicine Physician · NPI 1033735931

Gaurav Datta MD Inc is an Internal Medicine Physician in Elk Grove, California. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7510 Fortaleza Ave
Elk Grove, CA 95757-1769
Phone: (414) 336-8677
Fax: (925) 954-6958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 199 E Webster St, Colusa, CA 95932-2954 — (530) 619-0800
  • 26 Tamarisk, Moraga, CA 94556-3009 — (414) 336-8677

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
General Acute Care Hospital Taxonomy 282N00000X

Record details

NPI number1033735931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaurav Datta — Owner · (414) 336-8677
NPI enumeratedJune 17, 2020
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address7510 Fortaleza Ave, Elk Grove, CA 95757-1769

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