Individual
DEANE S CHARBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
614 FURMAN AVE, CORPUS CHRISTI, TX 78404-2325
(361) 882-9278
Mailing address
13409 GEORGE RD, SAN ANTONIO, TX 78230-3064
(210) 492-8922
(210) 479-2010
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036114401
IL
207RN0300X
Nephrology Physician
Primary
K6961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616108
BCBS
IL
05
—
33326800
—
WI
01
—
P00605021
RAILROAD MEDICARE
IL
Enumeration date
05/12/2006
Last updated
11/26/2024
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