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Deep Raole

Radiology, Diagnostic Radiology in Miami, FL. Individual provider (NPI-1).

NPI number1730838533
StatusActive
Last updated in NPPESJul 2, 2024

Details

NPI
1730838533
Entity type
Individual (NPI-1)
Name
Deep Raole
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2022
Certification date
Jul 2, 2024
Last updated
Jul 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyME165447FLYes

Practice location

1611 Nw 12th Ave
Miami, FL 33136-1005

Phone 305-585-4310

Mailing address

1611 Nw 12 Avenue
Miami, FL 33136-1005

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