| Doctor Name: | VIKAS DATTA |
| NPI Number: | 1316188170 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 270077 |
| Business Practice Address: | 4901 Lac De Ville Blvd Building D - Suite 140 Rochester, NY - 146185647 |
| Business Phone Number: | 5853419065 |
| Business Fax Number: | |
| Mailing Address: | 4901 Lac De Ville Blvd., Building D - Suite 140 University Medical Imaging ROCHESTER |
| State: | NY |
| Postal Code: | 14618 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 03/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 270077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |