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General NPI Number Information
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NPI Number | 1215167838
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Entity Type | Individual
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Provider Name | DEEPTHI RAO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 102 MARY ALICE PARK RD STE 805
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City | CUMMING
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State | GA
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Zip | 30040-4702
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Country | US
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Telephone | 770-284-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 11731 POINTE PL
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City | ROSWELL
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State | GA
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Zip | 30076-4636
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Country | US
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Telephone | 770-284-3150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4301094196
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 101060
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 036136455
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301094196
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License Number State | MI
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