Dr. Gautam Datta is a Saint Louis, Missouri based psychiatrist with 22 years of experience in Psychiatry. He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gautam Datta is 2007008850 for Psychiatry in Missouri. His current practice location is 763 S New Ballas Rd, Suite 110, Saint Louis. Patients can reach him at 314-843-4333 or can fax him at 314-843-4856. Dr. Gautam Datta is M.D. in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1568688414. Dr. Gautam Datta specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Dr. Gautam Datta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Gautam Datta
Specialization:
Psychiatry
Gender:
Male
Credentials:
M.D.
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2002
Accepts Medicare Assignment:
Yes
Practice Address:
763 S New Ballas Rd, Suite 110, Saint Louis, Missouri, 63141-8704
Phone:
314-843-4333
Fax:
314-843-4856
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406957851
Enrollment ID:
I20160901000093
NPI Number:
1568688414
NPI Enumeration Date:
18 Apr, 2007
NPI Last Update On:
03 Oct, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gautam Datta are as mentioned below.
License Number
Specialization
State
Status
2007008850
Psychiatry
Missouri
Primary
35087615
Psychiatry
Ohio
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140125)
Granite city, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Gautam Datta is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Heartland Rural Healthcare Llc (3072513043)
114
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gautam Datta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
209908706
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Gautam Datta 5000 Cedar Plaza Pkwy, Suite 350 Saint Louis, Missouri
Zip:
63128-3854
Phone Number:
314-843-4333
Fax Number:
314-843-4856
Patients can reach Dr. Gautam Datta at 763 S New Ballas Rd, Suite 110, Saint Louis, Missouri or can call to book an appointment on 314-843-4333.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.