Individual
DEEPAK BHAGWANDAS
Active
Individual
DEEPAK BHAGWANDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25720
FL
225100000X
Physical Therapist
Primary
PT004124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT004124
STATE LISC NUMBER
GA
Enumeration date
11/07/2006
Last updated
03/06/2018
Update your record
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