Individual
DEEPAN PANNEERSELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 357-1410
Mailing address
4900 S OXBOW AVE APT 303, SIOUX FALLS, SD 57106-4128
(605) 951-7281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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