Individual
DR. DEEPAK SHAM TANDON
Active
Individual
DR. DEEPAK SHAM TANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
46565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11151
HPHC
MA
01
—
706450
TUFTS
MA
01
—
92688
AETNA
MA
01
—
M14268
BCBS
MA
01
—
VC6000170977
COMMONWEALTH OF MA
MA
Enumeration date
10/23/2006
Last updated
07/08/2007
Update your record
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