Individual
DEEPU DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
575 PROFESSIONAL DR STE 290, LAWRENCEVILLE, GA 30046-3347
(770) 417-8170
(855) 530-3640
Mailing address
575 PROFESSIONAL DR STE 290, LAWRENCEVILLE, GA 30046-3347
(770) 417-8170
(855) 530-3640
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
73745
GA
208M00000X
Hospitalist Physician
73745
GA
Other
Enumeration date
04/14/2014
Last updated
02/11/2025
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