Provider Demographics
NPI:1689866493
Name:TAGGARSHE, DEEPA S (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:S
Last Name:TAGGARSHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22250 PROVIDENCE DR
Mailing Address - Street 2:SUITE 702
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4825
Mailing Address - Country:US
Mailing Address - Phone:248-557-9650
Mailing Address - Fax:248-557-5033
Practice Address - Street 1:22250 PROVIDENCE DR
Practice Address - Street 2:SUITE 702
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4825
Practice Address - Country:US
Practice Address - Phone:248-557-9650
Practice Address - Fax:248-557-5033
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2016-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301089750208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery