Individual
MR. DEEPAK SHAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
MSC10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 81731
(505) 272-4161
Mailing address
MSC10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 81731
(505) 272-4161
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
04/23/2025
Last updated
05/13/2026
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