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NPI Code Detail

MEDICARE: DEEPA LAKSHMI ELANGOVAN DO

MEDICARE: DEEPA LAKSHMI ELANGOVAN DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1083552913
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEEPA LAKSHMI ELANGOVAN DO
Provider Business Mailing Address
First Line : 901 W BEN WHITE BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-6903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 W BEN WHITE BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-6903
Country : US
Telephone Number : 512-816-5646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ DEEPA LAKSHMI ELANGOVAN DO” Practice Location

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