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NPI Code Detail

MEDICARE: DEEPA HASIJA MD

MEDICARE: DEEPA HASIJA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
22084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1841721917
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEEPA HASIJA MD
Provider Business Mailing Address
First Line : 4045 SPENCER ST STE 116
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5246
Country : US
Telephone Number : 702-582-8705
Fax Number : 888-433-5792
Provider Business Practice Location Address
First Line : 4055 SPENCER ST STE 106
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5250
Country : US
Telephone Number : 702-582-8705
Fax Number : 888-433-5792
Authorized Official
Title or Position : OWNER
Name : DR. DEEPA HASIJA
Credential : MD
Telephone Number : 201-286-3100
Provider Enumeration Date : 03/21/2017
Last Update Date : 04/07/2025

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