Individual
DR. DEEPA PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 GARRISONVILLE RD STE 102, STAFFORD, VA 22554-1573
(540) 657-4800
Mailing address
120 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3100
(540) 735-0560
(540) 735-0567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101247874
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538378195
—
VA
Enumeration date
05/21/2007
Last updated
08/11/2020
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