Sujay Dutta (NPI# 1184712168, PAC ID# 6002814076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1184712168 |
| PAC ID by PECOS | 6002814076 |
| Professional Enrollment ID | I20061129000546 |
| Full Name | Sujay Dutta |
| Organization Legal Name | MARK H MAZUR MD AND BARRY STATNER MD A PROFESSIONAL CORPORATION |
| Address |
2220 Lynn Rd Suite 301 Thousand Oaks CA 91360-1957 |
| Phone Number | 8054951073 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1254373806 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050549 | LOS ROBLES HOSPITAL & MEDICAL CENTER |
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 2190 Lynn Rd, Suite 320, Thousand Oaks, CA 91360-8026 | 8053704325 | ADVANCED WOUND HEALING SPECIALISTS, INC. |
| 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 | 8054951073 | MARK H MAZUR MD AND BARRY STATNER MD A PROFESSIONAL CORPORATION |
| Organization Legal Name | MARK H MAZUR MD AND BARRY STATNER MD A PROFESSIONAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramesh V Nathan | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Mark H Mazur | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Andrew Ma | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Barry Statner | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Street Address |
2220 LYNN RD SUITE 301 |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91360-1957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Ghausi | Obstetrics/gynecology | David Ghausi Do Inc | 2220 Lynn Rd, Suite 302, Thousand Oaks, CA 91360-8004 |
| John Y Hess | Cardiovascular Disease (cardiology) | 2220 Lynn Rd, Suite 203, Thousand Oaks, CA 91360-8009 | |
| David Frank Cobasko | Neurology | 2220 Lynn Rd, Suite 300, Thousand Oaks, CA 91360-8041 | |
| Kalena Kaopuuokalani Lanuza | Nurse Practitioner | David Ghausi Do Inc | 2220 Lynn Rd, Suite 302, Thousand Oaks, CA 91360-8004 |
| Jeffrey Tseng | Otolaryngology | 2220 Lynn Rd, Suite 109, Thousand Oaks, CA 91360-8002 | |
| Ramesh V Nathan | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Mark H Mazur | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Alan C Mintz | Vascular Surgery | 2220 Lynn Rd, Suite 102, Thousand Oaks, CA 91360-8017 | |
| Mark J Tramo | Neurology | 2220 Lynn Rd, Suite 300, Thousand Oaks, CA 91360-8041 | |
| Andrew Ma | Infectious Disease | Mark H Mazur Md and Barry Statner Md A Professional Corporation | 2220 Lynn Rd, Suite 301, Thousand Oaks, CA 91360-1957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Popper | Sleep Medicine | 2230 Lynn Rd, Suite 101, Thousand Oaks, CA 91360-1360 | |
| Mark D Suski | Plastic and Reconstructive Surgery | 227 W Janss Rd, Suite 205, Thousand Oaks, CA 91360-1827 | |
| Brian Truong | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| William L Matzner | Internal Medicine | Orion Medical Group | 215 W Janns Rd, Thousand Oaks, CA 91360-1847 |
| Catherine A Moses | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Rashita Aggarwal | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Andrew Cannon | Anesthesiology | Conejo Los Robles Anesthesiology Medical Group, Inc | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Pejman Badiei | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Barry D Klein | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Matthew P Beatty | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Find all physicians in zip 91360 | |||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | THOUSAND OAKS + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Sujay Dutta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.