Individual
MRS. JYOTI S DEORAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 HIGH STREET, WADSWORTH, OH 44281
(330) 334-1603
(330) 334-4163
Mailing address
180 HIGH STREET, WADSWORTH, OH 44281
(330) 334-1603
(330) 334-4163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35047875-D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534818
—
OH
Enumeration date
08/10/2006
Last updated
07/08/2007
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