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Individual

DR. DEEPTHI SINGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(330) 364-7749
Mailing address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(330) 364-7749

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35121615
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
763222
OH
Enumeration date
08/16/2010
Last updated
10/24/2013
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