| Doctor Name: | DR. DEEPTI SURESH MOON |
| NPI Number: | 1134231871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 0101240275 |
| Business Practice Address: | 8901 Rockville Pike National Naval Medical Center - Internal Medicine Bethesda, MD - 208890001 |
| Business Phone Number: | 3012954611 |
| Business Fax Number: | |
| Mailing Address: | 8897 Crosspointe Glen Way, LORTON |
| State: | VA |
| Postal Code: | 220794412 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101240275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |