Provider Demographics
NPI:1033918545
Name:AJEYA, DEEKSHA
Entity type:Individual
Prefix:
First Name:DEEKSHA
Middle Name:
Last Name:AJEYA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 MOUNT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3153
Mailing Address - Country:US
Mailing Address - Phone:732-319-0130
Mailing Address - Fax:
Practice Address - Street 1:60 N 36TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5639
Practice Address - Country:US
Practice Address - Phone:215-991-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program