| NPI | 1952318214 | 
|---|---|
| Former Name | DEEPA PRASAD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 47964)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 47964)  | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2022-01-24 |