Individual provider · Type 1 NPI

Deeksha Suresh Bidare, MD

Student in an Organized Health Care Education/Training Program · Palo Alto, CA

NPI number 1154026656 Active

Practice location

300 Pasteur Dr
Palo Alto, CA 94305-2200

Mailing address

7019 Thistlewood Park Ct
Katy, TX 77494-4253

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154026656

Deeksha Suresh Bidare, MD's National Provider Identifier is 1154026656, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palo Alto, CA. The record was last updated on Apr 3, 2023.