Individual
DEEPAK THATAI
Active
Individual
DEEPAK THATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301069394
MI
207RC0000X
Cardiovascular Disease Physician
Primary
238276
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168235
—
MA
Enumeration date
05/31/2006
Last updated
02/08/2012
Update your record
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