Individual
DEEPA MANJUNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 DELANCEY ST, NEW YORK, NY 10002-3202
(212) 677-2157
Mailing address
104 DELANCEY ST, NEW YORK, NY 10002-3202
(212) 677-2157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287362
MA
207R00000X
Internal Medicine Physician
Primary
326374
NY
Other
Enumeration date
05/14/2018
Last updated
04/25/2024
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