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

Gaurav Datta, MD

Individual provider Internal Medicine Physician · NPI 1225184765

Gaurav Datta, MD is an Internal Medicine in Elk Grove, California. Qualified in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California and Wisconsin.

Years since qualifying
30
Licensed in
CA, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7510 Fortaleza Ave
Elk Grove, CA 95757-1769
Phone: (414) 336-8677
Fax: (925) 954-6958
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C153705 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 51523-20 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 51523-020 (WI)

Record details

NPI number1225184765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing address7510 Fortaleza Ave, Elk Grove, CA 95757-1769

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Elk Grove