Individual
DARSHAN A DEOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10801 E STATE ROUTE 350, RAYTOWN, MO 64138-2367
(816) 737-5500
(816) 737-5504
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011021971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45791024
BCBS KC
—
01
—
MA4370055
MEDICARE PTAN
MO
Enumeration date
07/06/2011
Last updated
04/19/2016
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