Deepthi Pandraju in Fitchburg - Family Medicine
Deepthi Pandraju - NPI 1073734901
Deepthi Pandraju is a Family Medicine in Fitchburg, Massachusetts. Deepthi Pandraju practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Deepthi Pandraju is 1073734901. The last update date is 2021-12-14.
Deepthi Pandraju's current location address is 104 Whalon St Ste 2a, Fitchburg, Massachusetts. You can contact this provider via phone number 9783451700. The mailing address for Deepthi Pandraju is 104 Whalon St Ste 2a, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deepthi Pandraju |
|---|---|
| Address | 104 Whalon St Ste 2a, Fitchburg, Massachusetts |
| Phone Number | 9783451700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073734901 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 104 Whalon St Ste 2a |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14207128 |
| Phone Number | 9783451700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 6518 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M20928 | MA | GROUP PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Deepthi Pandraju?
The Deepthi Pandraju has been issued the NPI (National Provider Identifier) 1073734901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Deepthi Pandraju is geographically located?
The Deepthi Pandraju is physically situated at the following location: 104 Whalon St Ste 2A, Fitchburg, MA, 14207128.
What is the area of specialization for Deepthi Pandraju, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Deepthi Pandraju is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073734901 to Deepthi Pandraju?
The Deepthi Pandraju received its 1073734901 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Deepthi Pandraju most recently updated or revised?
The information pertaining to Deepthi Pandraju, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-14.