Mandeep Kaur Deol, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2900 West Oklahoma Avenue
Aurora St Lukes Family Medicine Program
Milwaukee, WI 53215

Phone

(414) 649-6732

Fax

(414) 649-5840

NPI assigned

Oct 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mandeep Kaur Deol Ahuja Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1235318221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WEST OKLAHOMA AVENUE",
            "address_2": "AURORA FAMILY MEDICINE PROGRAM",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-649-6732",
            "fax_number": "414-649-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WEST OKLAHOMA AVENUE",
            "address_2": "AURORA ST LUKES FAMILY MEDICINE PROGRAM",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-649-6732",
            "fax_number": "414-649-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOL",
        "first_name": "MANDEEP",
        "middle_name": "KAUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDEEP",
            "last_name": "DEOL AHUJA",
            "middle_name": "KAUR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Barbara A Denton, MA, ATR
• Denise Ann Denton, R.N., B.S.N.
• Stephen Denton
• Ann Marie Denucci, OTR/L
• Elizabeth Christy Deobald, CPNP-AC/PC
• Department of Health & Family Services
• Department of Health & Family Services
• Department of Health & Family Services
• Department of Health & Family Services
• Department of Veteran Affiars

• Student in an Organized Health Care Education/Training Program in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.