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Search › Mississippi › 207R00000X

Deepak Raj

NPI 1174227714 · on the registry since 2023

Practice

Address
4500 13th St
Gulfport, MS 39501
Phone
(228) 822-6512
Organisation at this address
Boles Llc
Etas, Pllc
Caredoc Llc
Care Doc Llc
Care Doc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi