Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 288957 | NY |
NPI | 1144477100 |
---|---|
Provider Name | Deepa Ramakumar Magge |
First Address | Nashville, TN 37232-0021 |
Second Address | Nashville, TN 37232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2008 |
Last Update Date | 19/10/2020 |