Deepthi K Bommadevara in Newark - Internal Medicine

Deepthi K Bommadevara - NPI 1821259474

Deepthi K Bommadevara is a Internal Medicine in Newark, Delaware. Deepthi K Bommadevara practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Deepthi K Bommadevara is 1821259474. The last update date is 2014-04-29.

Deepthi K Bommadevara's current location address is 111 Continental Dr, Newark, Delaware. You can contact this provider via phone number 3023682630 and fax number 3023681271. The mailing address for Deepthi K Bommadevara is 111 Continental Dr, Newark, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Deepthi K Bommadevara
Address 111 Continental Dr, Newark, Delaware
Phone Number 3023682630
Fax Number 3023681271
Sole Proprietor N
Credentials M.D; M.P.H

NPI Number Detail

NPI Number 1821259474
Provider Enumeration Date 2008-06-17
Last Updated Date 2014-04-29

Provider Mailing Address Detail

Address 111 Continental Dr
City Newark
State Delaware (DE)
Post Code 197134306
Phone Number 3023682630
Fax Number 3023681271

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No C1-0009777
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1821259474 DE --

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FAQs about Deepthi K Bommadevara

What is the unique 10-digit identification code assigned to Deepthi K Bommadevara by the Centers for Medicare & Medicaid Services?

The Deepthi K Bommadevara has been issued the NPI (National Provider Identifier) 1821259474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Deepthi K Bommadevara?

The Deepthi K Bommadevara is physically situated at 111 Continental Dr, in the city of Newark, state of DE, with the postal code 197134306.

What is the Deepthi K Bommadevara's area of specialization and corresponding taxonomy classification?

The Deepthi K Bommadevara's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When did the Deepthi K Bommadevara receive its 1821259474?

The Deepthi K Bommadevara was issued its 1821259474 on 2008-06-17, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Deepthi K Bommadevara most recently updated or revised?

The details related to Deepthi K Bommadevara, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-29.

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