Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A145600 | CA |
NPI | 1003159898 |
---|---|
Provider Name | Dr. Deepa Asokan |
First Address | San Diego, CA 92193-2410 |
Second Address | Newark, NJ 07103-2757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 08/12/2016 |