Individual
DR. DEEPTANKAR DEMAZUMDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8521
(513) 475-7480
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35131512
OH
390200000X
Student in an Organized Health Care Education/Training Program
0116019576
VA
Other
Enumeration date
06/18/2007
Last updated
06/21/2017
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