Individual
DEEPTI HARSHAVARDHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 S 11TH ST, SUITE 8280, PHILADELPHIA, PA 19107-4824
(215) 955-2370
(215) 955-0677
Mailing address
111 S 11TH ST, SUITE 8280, PHILADELPHIA, PA 19107-4824
(215) 955-2370
(215) 955-0677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS020640
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
11/27/2023
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