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DEEPTI GANTI CHRUSCIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 440-9866
(405) 438-3834
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 440-9866
(405) 438-3834

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007016654
MO

Other

Enumeration date
08/06/2007
Last updated
08/09/2023
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