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

Individual provider Allergy & Immunology Physician · NPI 1982961843

Dr. Rahul Datta, MDPHD is an Allergy & Immunology Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 3 locations. Licensed in Connecticut, New Jersey and Pennsylvania.

Licensed in
CT, NJ, PA
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

3500 Civic Center Blvd
Philadelphia, PA 19104
Phone: (215) 590-1000
Fax: (215) 590-2180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Plainsboro Rd, Plainsboro, NJ 08536-1978 — (609) 520-1717
  • 3500 Civic Center Blvd, Philadelphia, PA 19104 — (215) 590-1000

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence MD465799 (PA)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 54431 (CT)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 25MA10427500 (NJ)

Record details

NPI number1982961843
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedApril 17, 2012
Last updated in NPPESJanuary 17, 2020
Certification dateJanuary 17, 2020
Mailing address100 E Penn Sq Fl 9, Philadelphia, PA 19107-3377

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