# DR. DEEPA PONNUSAMY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841451788
- **Gender:** F
- **Credential:** M.D.,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | P1917 | TX | Yes |
| 282N00000X | General Acute Care Hospital | P 1917 | TX | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 09/29/2014