Individual
DEEP HANS MAHAPATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5009 HONEYGO CENTER DR STE 216, PERRY HALL, MD 21128-9842
(410) 256-5858
(410) 529-2431
Mailing address
215 BRIGHTWATER DR, LILLINGTON, NC 27546-5156
(910) 892-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H96650
MD
Other
Enumeration date
04/07/2019
Last updated
05/09/2025
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