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NPI Code Detail

MEDICARE: DR. DEEPA RAMACHANDRAN MD

MEDICARE:  DR. DEEPA  RAMACHANDRAN  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
1207Q00000XFamily Medicine Physician55010CA

General Provider Information

NPI Number : 1356561930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEEPA RAMACHANDRAN MD
Provider Business Mailing Address
First Line : 3162 NEWBERRY DR STE 30
Second Line :
City : SAN JOSE
State : CA
Zip : 95118-1567
Country : US
Telephone Number : 408-335-7640
Fax Number : 408-351-8999
Provider Business Practice Location Address
First Line : 3162 NEWBERRY DR STE 30
Second Line :
City : SAN JOSE
State : CA
Zip : 95118-1567
Country : US
Telephone Number : 408-335-7640
Fax Number : 408-351-8999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 02/27/2019

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Directions to “ DR. DEEPA RAMACHANDRAN MD” Practice Location

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