Individual
MRS. DEEP K BHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Mailing address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-2994
(407) 767-5801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA10105000
NJ
207Q00000X
Family Medicine Physician
Primary
ME153291
FL
208M00000X
Hospitalist Physician
25MA10105000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2012
Last updated
11/05/2021
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