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Individual
PREMJIT S. DEOL
Active
Individual
PREMJIT S. DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34-008599
OH
207X00000X
Orthopaedic Surgery Physician
Primary
48122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164965
MEDICAID GROUP
OH
05
—
2844364
—
OH
05
—
66771366
—
CO
01
—
OR9300431
MEDICARE GROUP #
OH
Enumeration date
06/14/2007
Last updated
02/02/2017
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