Individual
DEEPALI PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
800 ROSE ST # CC-402, LEXINGTON, KY 40536-0293
(650) 804-3111
Mailing address
800 ROSE ST # CC-402, LEXINGTON, KY 40536-0293
(650) 804-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267816
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
101707
NY
207RH0003X
Hematology & Oncology Physician
Primary
53868
KY
Other
Enumeration date
07/11/2016
Last updated
07/08/2020
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