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Individual

DR. DEEPA MARIA GRANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.B.A

Contact information

Practice address
2940 E ELEANA LN, GILBERT, AZ 85298-5776
(602) 905-5155
(602) 654-1847
Mailing address
1400 VILLAGE SQUARE BLVD # 3-85340, TALLAHASSEE, FL 32312-1250
(602) 905-5155
(602) 654-1847

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A 112797
CA
207KA0200X
Allergy Physician
46470
AZ
207R00000X
Internal Medicine Physician
46470
AZ

Other

Enumeration date
06/23/2010
Last updated
04/15/2026
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