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

Sujay Dutta, MD

Individual provider Infectious Disease Physician · NPI 1184712168

Sujay Dutta, MD is an Infectious Disease in Thousand Oaks, California. Graduated from University of California, San Francisco School of Medicine in 1994, 32 years ago. Practices with Mark H Mazur MD and Barry Statner MD a Professional Corporation, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2006
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

2220 Lynn Rd Ste 301
Thousand Oaks, CA 91360
Phone: (805) 495-1073
Fax: (805) 495-5836
Show map & directions

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence G85674 (CA)

Record details

NPI number1184712168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESMarch 17, 2008
Mailing address2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Mark H Mazur Md And Barry Statner Md A Professional Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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