Individual
NARAYANASWAMY DEEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1753 AIRWAY AVE, SUITE A, KINGMAN, AZ 86409-3720
(928) 757-4359
Mailing address
4236 RISING SUN AVE, KINGMAN, AZ 86401-7327
(347) 260-5902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40858
AZ
Other
Enumeration date
07/07/2008
Last updated
07/26/2012
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