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Individual

DEEPAK BHAMIDIPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
335 24TH AVE N STE 200, NASHVILLE, TN 37203-1516
(615) 329-7640
Mailing address
2 MESA LN, MALVERN, PA 19355-2922

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
72503
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2018
Last updated
10/18/2024
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