Individual
DEEPA PERUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 W LAUREL ST, INDEPENDENCE, KS 67301-3211
(620) 332-3280
Mailing address
4361 RAILROAD AVE, PLEASANTON, CA 94566-6611
(925) 462-1755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0435477
KS
207Q00000X
Family Medicine Physician
7292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200968320A
—
KS
Enumeration date
07/10/2009
Last updated
12/17/2021
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