Individual
DEEPTHI THADASINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC08 4720 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-6434
Mailing address
MSC08 4720 1 UNM, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0220
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/03/2024
Last updated
09/10/2025
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