Individual
JANAKI DEEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-1512
(410) 328-0177
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-1512
(410) 328-0177
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D65097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020402100
—
MD
Enumeration date
06/18/2007
Last updated
02/23/2011
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