Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | Q5389 | TX |
Y | 207Q00000X | Family Doctor | 46521 | TN |
N | 207Q00000X | Family Doctor | 64113 | GA |
NPI | 1104070515 |
---|---|
Provider Name | Dr. Varalakshmi Jhingade Devesh |
First Address | Antioch, TN 37013-4471 |
Second Address | Plano, TX 75025-5547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 27/03/2019 |