Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD424147 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | D64191 | MD |
N | 207QS0010X | Family Doctor - Sports Medicine | MD424147 | PA |
NPI | 1194749739 |
---|---|
Provider Name | Dr. Rajwinder Singh Deu |
First Address | Baltimore, MD 21264-4664 |
Second Address | Columbia, MD 21044-3629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 10/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0110493 | (05) | NJ |
068675100 | (05) | MD |
101690948 | (05) | PA |
103453 | (02) | PA |