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

Individual provider Internal Medicine Physician · NPI 1366643090

Dr. Shruti Datta, MD is an Internal Medicine Physician in Rochester, New York. Licensed in Minnesota and New York. Registered with an NPI since 2007.

Licensed in
MN, NY
In the registry since
2007
Specialties on file
4
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

1415 Portland Ave
Rochester, NY 14621-3038
Phone: (585) 922-0393
Fax: (585) 922-0395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 255593 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 255593 (NY)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 55592 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 106218 (MN)

Record details

NPI number1366643090
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESDecember 15, 2021

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