Healthcare Provider Details

I. General information

NPI: 1376142141
Provider Name (Legal Business Name): NAVDEEP DEOGAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2020
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 RIGGS RD NE
WASHINGTON DC
20011-2534
US

IV. Provider business mailing address

139 P ST NW UNIT A
WASHINGTON DC
20001-1115
US

V. Phone/Fax

Practice location:
  • Phone: 202-756-4417
  • Fax: 202-756-4417
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100001555
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: