Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 57027977 | OH |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036.152594 | IL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036152594 | IL |
NPI | 1568826691 |
---|---|
Provider Name | Deepanjana Das |
First Address | Cleveland, OH 44195-0001 |
Second Address | Chicago, IL 60611-2908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 23/09/2020 |