Individual
NIMISHA DEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
844 TUCK ST, LEBANON, PA 17042-7477
(717) 639-3915
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD056083L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0683033
—
PA
01
—
920006467
RAILROAD MEDICARE
PA
Enumeration date
05/18/2006
Last updated
11/22/2024
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