Individual
DEEPA CHANDHRASEKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1708 YAKIMA AVE STE 105112, TACOMA, WA 98405-5307
(253) 382-8008
Mailing address
1708 YAKIMA AVE STE 105112, TACOMA, WA 98405-5307
(253) 382-8008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OL61426118
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61426118
WA
Other
Enumeration date
04/18/2023
Last updated
11/03/2023
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