Pandraju, Deepthi

Pandraju, Deepthi is an individual health care provider with primary practice located at 104 Whalon St Ste 2A , Fitchburg MA 01420-7128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pandraju, Deepthi can be contacted via phone (978) 345-1700.

Contact Information

Primary practice address
104 Whalon St Ste 2A Fitchburg MA 01420-7128
Phone: (978) 345-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6518 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 242397 Massachusetts

Profile Details

NPI number 1073734901
LBN Legal business name Pandraju, Deepthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Dec 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073734901 NPPES
Massachusetts Other M20928 GROUP PIN

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