Provider Demographics
NPI:1619538659
Name:SANYAL, RIANA DUTT (MD, MSCR)
Entity type:Individual
Prefix:DR
First Name:RIANA
Middle Name:DUTT
Last Name:SANYAL
Suffix:
Gender:F
Credentials:MD, MSCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 S LAKE AVE STE 930
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-4938
Mailing Address - Country:US
Mailing Address - Phone:626-514-1472
Mailing Address - Fax:
Practice Address - Street 1:70 S LAKE AVE STE 930
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-4938
Practice Address - Country:US
Practice Address - Phone:626-514-1472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA182036207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology