Individual
DEEPTI DHAVALESHWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 STOCKTON DR UNIT 1110, ALLEN, TX 75013-6153
(469) 333-9505
(469) 333-9506
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD452033
PA
207RG0100X
Gastroenterology Physician
Primary
R8553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102968788
—
PA
Enumeration date
11/30/2012
Last updated
01/21/2026
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