# DEEPA PRAKASH ARYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134190473
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 80360 | MA | — |
| 207QA0505X | Adult Medicine Physician | 80360 | MA | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 05/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080360 | TUFTS | MA |
| 05 | — | 2027461 | — | MA |
| 01 | — | AA2921 | HARVARD PILGRIM | MA |
| 01 | — | J14943 | BLUE CROSS | MA |