Kallam, Deepti

Kallam, Deepti is an sole proprietor health care provider with primary practice located at 3107 W Camp Wisdom Rd Ste 110 , Dallas TX 75237-2600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Kallam, Deepti can be contacted via phone (214) 765-2222.

Contact Information

Primary practice address
3107 W Camp Wisdom Rd Ste 110 Dallas TX 75237-2600
Phone: (214) 765-2222
Fax: (214) 269-9902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X S1620 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X S1620 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35C00445 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35C000445 Ohio

Profile Details

NPI number 1609209949
LBN Legal business name Kallam, Deepti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2013
Last updated Jul 23rd, 2024 - about 2 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 1609209949 NPPES
Missouri MEDICAID 200122442

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