Individual
DEEPAK THIAGARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12318
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A 113059
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
LP00988
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32935-4
BCBS
RI
01
—
414203
BLUECHIP
RI
01
—
AA91479
HPHC - MIRIAM
RI
05
—
DT68425
—
RI
Enumeration date
04/18/2007
Last updated
04/04/2024
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