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Individual
DEEPA PRAKASH ARYA
Active
Individual
DEEPA PRAKASH ARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
80360
MA
207QA0505X
Adult Medicine Physician
Primary
80360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080360
TUFTS
MA
05
—
2027461
—
MA
01
—
AA2921
HARVARD PILGRIM
MA
01
—
J14943
BLUE CROSS
MA
Enumeration date
01/26/2006
Last updated
05/16/2011
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