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Individual
DR. DEEPA BALASUBRAMANIAM
Active
Individual
DR. DEEPA BALASUBRAMANIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
D72822
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
D72822
MD
Other
Enumeration date
12/14/2007
Last updated
09/30/2019
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