Provider Demographics
NPI:1447427471
Name:DATTANI, SEEMA BIPIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:BIPIN
Last Name:DATTANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W 14TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1114
Mailing Address - Country:US
Mailing Address - Phone:302-428-2637
Mailing Address - Fax:302-428-2638
Practice Address - Street 1:205 W 14TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1114
Practice Address - Country:US
Practice Address - Phone:302-428-2637
Practice Address - Fax:302-428-2638
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0009842207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine