Individual
DR. DEEPALI AVINASH MUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 W 12TH ST, NEW YORK, NY 10011-8202
(212) 604-7000
Mailing address
170 W 12TH ST, NEW YORK, NY 10011-8202
(212) 604-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
258119-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2008
Last updated
07/25/2012
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