Individual
DR. DEEPTHIMAN K GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 MALCOLM X BLVD, WP-522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759
Mailing address
506 MALCOLM X BLVD, WP-522, NEW YORK, NY 10037-1802
(212) 939-2740
(212) 939-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219634
NY
Other
Enumeration date
09/14/2006
Last updated
08/21/2012
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