Individual
FNU AMAN DEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 GOLF VIEW DR UNIT 200, MEDFORD, OR 97504-9685
(541) 842-9446
(617) 506-2110
Mailing address
760 GOLF VIEW DR UNIT 200, MEDFORD, OR 97504-9685
(541) 842-9446
(617) 506-2110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD208412
OR
207R00000X
Internal Medicine Physician
272102
MA
Other
Enumeration date
07/07/2017
Last updated
11/16/2022
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