Provider Demographics
NPI:1457544298
Name:MASRANI, DEEPA MILIND (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:MILIND
Last Name:MASRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5818 PARAPET DR
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-6521
Mailing Address - Country:US
Mailing Address - Phone:315-373-0278
Mailing Address - Fax:
Practice Address - Street 1:5818 PARAPET DR
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-6521
Practice Address - Country:US
Practice Address - Phone:315-373-0278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033252085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology