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

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1285925917

Dr. Monideep Dutt, MD is a Neurology in Boston, Massachusetts. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Albany St Shapiro 7 Ste
Boston, MA 02118-2526
Phone: (617) 638-8456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 79657 (GA)

Record details

NPI number1285925917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2011
Last updated in NPPESMarch 9, 2018
Mailing address975 Johnson Fy Rd Ne, Atlanta, GA 30342-1619

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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