Provider Demographics
NPI:1841277555
Name:DUTT, RINKU M (MD)
Entity type:Individual
Prefix:DR
First Name:RINKU
Middle Name:M
Last Name:DUTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6291 STATE ROUTE 30
Mailing Address - Street 2:HEMPFIELD POINTE #9
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7597
Mailing Address - Country:US
Mailing Address - Phone:724-527-9720
Mailing Address - Fax:724-527-9722
Practice Address - Street 1:6291 STATE ROUTE 30
Practice Address - Street 2:HEMPFIELD POINTE
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8815
Practice Address - Country:US
Practice Address - Phone:724-527-9720
Practice Address - Fax:724-527-9722
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2010-02-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD046644L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001397322Medicaid
PA048906Medicare ID - Type Unspecified
PA001397322Medicaid