Most Relevant Information
Provider Data
| NPI Number: | 1003519158 |
| Provider Name: | FNU DEEPAK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2023 |
| Last Updated: | 03/27/2023 |
Provider Practice Location
1800 N CALIFORNIA ST
STOCKTON
CA
952046019
Practice Location Phone/Fax
| Phone: | 2095477177 |
| Fax: |
Provider Mailing Location
1800 N CALIFORNIA ST
STOCKTON
CA
952046019
Provider Mailing Phone/Fax
| Phone: | 2095477177 |
| Fax: |