Basic Information
Provider Information
NPI: 1285959429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARLA
FirstName: DEEPTI
MiddleName:  
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Credential:  
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Mailing Information
Address1: 1 PERKINS SQ
Address2:  
City: AKRON
State: OH
PostalCode: 443081063
CountryCode: US
TelephoneNumber: 3305438950
FaxNumber: 3305433980
Practice Location
Address1: 1 PERKINS SQ
Address2:  
City: AKRON
State: OH
PostalCode: 443081063
CountryCode: US
TelephoneNumber: 3305438950
FaxNumber: 3305433980
Other Information
ProviderEnumerationDate: 03/31/2010
LastUpdateDate: 04/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 04/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0210X35.128979OHN Allopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
208000000X35128979PAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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