Individual
DEEPTI ANANTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(215) 361-4854
Mailing address
1380 COWELL FARM RD, WASHINGTON, NC 27889-3431
(215) 361-4854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD441283
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD441283
MEDICAL LICENSE
PA
Enumeration date
08/28/2007
Last updated
01/13/2022
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