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1821436684
DEEPA RAGESH PANIKKATH
SAN LUIS OBISPO, CA
NPI
1821436684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: CA A161120)
Enumeration Date
2013-06-13
Last Update Date
2022-10-12
Business Address
DEEPA RAGESH PANIKKATH MD
892 AEROVISTA PL STE 210
SAN LUIS OBISPO, CA 93401-8054
Phone number: 805-549-8023
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Mailing Address
DEEPA RAGESH PANIKKATH MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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