Individual
DEEPTA SHANKAR ATRE STRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
354 FERSON AVE, IOWA CITY, IA 52246-3510
(319) 341-4245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-123193
IL
207P00000X
Emergency Medicine Physician
36939
IA
207P00000X
Emergency Medicine Physician
48566
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00741037
RR MEDICARE
IL
Enumeration date
08/23/2006
Last updated
10/19/2009
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