Individual
DEEPTHI LAKSHMI PENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH ST STE 8280, PHILADELPHIA, PA 19107-4824
(215) 955-6161
Mailing address
401 RACE ST APT 441, PHILADELPHIA, PA 19106-1032
(201) 486-7048
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
FP99277990
CA
Other
Enumeration date
03/19/2019
Last updated
03/27/2024
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