Individual
DEEPAK YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
2642 TUSCAN HILLS LN, LAS CRUCES, NM 88011-1810
(915) 929-4471
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301107188
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
MD2018-0069
NM
2080N0001X
Neonatal-Perinatal Medicine Physician
R8513
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2012
Last updated
08/04/2022
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