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Individual

DR. DEEPTI RAMESH BAHETI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.B.B.S

Contact information

Practice address
1100 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(830) 890-3477
Mailing address
825 MARSHALL ST APT 245, REDWOOD CITY, CA 94063-2167
(830) 890-3477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C200721
CA
207R00000X
Internal Medicine Physician
R4664
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
368297
AMERICAN BOARD INTERNAL MEDICINE
TX
05
3824179-01
TX
Enumeration date
07/11/2013
Last updated
05/05/2025
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