MEDICARE: DEEPA PANERU

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
1	163W00000X	Registered Nurse	339655	NC

General Provider Information

NPI Number	:	1861323842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPA PANERU

Provider Business Mailing Address
First Line	:	131 CENTERPIECE DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1161
Country	:	US
Telephone Number	:	646-824-1982
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 CENTERPIECE DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1161
Country	:	US
Telephone Number	:	646-824-1982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ DEEPA PANERU ” Practice Location

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