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

Sudip Datta, MD

Individual provider Internal Medicine Physician · NPI 1366678567

Sudip Datta, MD is an Internal Medicine Physician in Saint Louis, Missouri. Licensed in Kentucky and Missouri. Registered with an NPI since 2009.

Licensed in
KY, MO
In the registry since
2009
Specialties on file
5
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

639 Tanya Court Dr
Saint Louis, MO 63129-2555
Phone: (270) 804-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2012029909 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence TP647 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence TP647 (KY)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence TP647 (KY)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 2012029909 (MO)

Record details

NPI number1366678567
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESAugust 14, 2013

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