Camenga, Deepa
Camenga, Deepa is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Camenga, Deepa can be contacted via phone (203) 688-5555.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47964 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 47964 | Connecticut |
Profile Details
| NPI number | 1952318214 |
|---|---|
| LBN Legal business name | Camenga, Deepa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952318214 | NPPES |
| Connecticut | Other | 008003745 | APT FOUNDATION MEDICAID |
| Connecticut | MEDICAID | 008040283 | APT FOUNDATION MEDICAID |
| Connecticut | Other | 004217099 | APT FOUNDATION MEDICAID |
| Connecticut | Other | 004041000 | APT FOUNDATION MEDICAID |
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