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Individual

DR. DEEP H DALAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1406B CRAIN HWY S, SUITE 207, GLEN BURNIE, MD 21061-4099
(410) 590-4730
(410) 590-4737
Mailing address
1406B CRAIN HWY S, SUITE 207, GLEN BURNIE, MD 21061-4099
(410) 590-4730
(410) 590-4737

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0064447
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410786100
MD
Enumeration date
05/23/2006
Last updated
12/14/2011
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