Individual
DEEPTHI PANDRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 WHALON ST STE 2A, FITCHBURG, MA 01420-7128
(978) 345-1700
Mailing address
104 WHALON ST STE 2A, FITCHBURG, MA 01420-7128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
242397
MA
207Q00000X
Family Medicine Physician
6518
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M20928
GROUP PIN
MA
Enumeration date
05/01/2007
Last updated
12/14/2021
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