Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 282192 | NY |
Y | 207VX0201X | Gynecologic Oncologist | 64432 | MN |
NPI | 1174895882 |
---|---|
Provider Name | Deepa Maheswari Narasimhulu |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2012 |
Last Update Date | 02/09/2021 |