Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 104888 | MN |
N | 208000000X | Pediatrician | 125052395 | IL |
N | 208000000X | Pediatrician | 53510 | MN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 53510 | MN |
NPI | 1225287741 |
---|---|
Provider Name | Dr. Deepti Warad |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2008 |
Last Update Date | 10/12/2020 |