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1588655450
DEEPAK A SHIVARAM
LANCASTER, CA
NPI
1588655450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A62177)
Enumeration Date
2005-10-31
Last Update Date
2020-02-26
Business Address
Dr. DEEPAK A SHIVARAM M.D.
44215 15TH ST W STE 111
LANCASTER, CA 93534-5503
Phone number: 661-949-5941
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Mailing Address
Dr. DEEPAK A SHIVARAM M.D.
44215 15TH ST W STE. 111
LANCASTER, CA 93534-4014
Phone number: 661-949-5941
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