Individual
DEEPAK RAMESHCHANDRA BHARADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7796
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
S7392
TX
208600000X
Surgery Physician
263140
MA
208600000X
Surgery Physician
MD484489
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD484489
PA
Other
Enumeration date
07/13/2010
Last updated
02/26/2025
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