Basic Information
| Provider Information | |||||||||
| NPI: | 1184936890 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHANOT | ||||||||
| FirstName: | DEEPA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 N. KANSAS | ||||||||
| Address2: | WCGME | ||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 67214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162685000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 RAWLINS DR | ||||||||
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| City: | SEAFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199735881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029903300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2010 | ||||||||
| LastUpdateDate: | 05/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | C1-0011678 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.