Individual
DEEP R DUDEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 W WHITTIER BLVD, SUITE 100, LA HABRA, CA 90631-3893
(562) 694-2500
(562) 694-2577
Mailing address
121 W WHITTIER BLVD, SUITE 100, LA HABRA, CA 90631-3893
(562) 694-2500
(562) 694-2577
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G837640
—
CA
Enumeration date
04/05/2006
Last updated
01/29/2011
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