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Organization

DEEPAK S. MAHAJAN PHYSICIAN P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUCHETA D MAHAJAN M.D. (ATTENDING)
(516) 627-4577
Entity
Organization

Contact information

Practice address
8675 MIDLAND PKWY, SUITE 2, JAMAICA, NY 11432-3058
(718) 523-2177
(718) 523-2133
Mailing address
38 LAKE DR, NEW HYDE PARK, NY 11040-1123
(516) 627-4577
(718) 523-2133

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
238466
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02752674
NY
Enumeration date
07/27/2006
Last updated
12/17/2015
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