Guttikonda, Deepak

Guttikonda, Deepak is an individual health care provider with primary practice located at 8075 N Shadeland Ave Ste 330 , Indianapolis IN 46250-2694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Guttikonda, Deepak can be contacted via phone (317) 353-7220.

Contact Information

Primary practice address
8075 N Shadeland Ave Ste 330 Indianapolis IN 46250-2694
Phone: (317) 353-7220
Fax: (317) 355-9672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01057922A Indiana

Profile Details

NPI number 1073542346
LBN Legal business name Guttikonda, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jun 11th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073542346 NPPES
Indiana Other P01214609 RR MEDICARE PTAN
Indiana MEDICAID 200456610 RR MEDICARE PTAN
Indiana Other 7014504 RR MEDICARE PTAN
Indiana Other 000000525348 RR MEDICARE PTAN

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