Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E1-0000248 | DE |
Y | 222Z00000X | Podiatrist | E1-0000248 | DE |
N | 213ES0103X | Foot & Ankle Surgery | 006488 | NY |
NPI | 1083994305 |
---|---|
Provider Name | Dr. Deepa Nalini Diaram |
First Address | Seaford, DE 19973-3604 |
Second Address | Seaford, DE 19973-3604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2011 |
Last Update Date | 09/02/2020 |