Individual
DR. DEEPAN MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
936 SW 1ST ST., SUITE 428, MIAMI, FL 33130
(785) 608-5133
Mailing address
6511 SW 23RD CT, TOPEKA, KS 66614-5606
(785) 608-5133
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD451133
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME124783
FL
Other
Enumeration date
05/06/2008
Last updated
08/07/2018
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