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Individual

GEETIKA DEMBLA

Active
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Individual

GEETIKA DEMBLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
204062
LA
208600000X
Surgery Physician
204062
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2126857
LA
01
4P643F600
MEDICACRE - PTAN
LA
Enumeration date
06/14/2007
Last updated
03/22/2018
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