Kannaditharayil, Deepa
Kannaditharayil, Deepa is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kannaditharayil, Deepa can be contacted via phone (209) 550-4785.Contact Information
Primary practice address
600 Coffee Rd
Modesto CA 95355-4201
Phone: (209) 550-4785
Fax: (209) 550-4888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A143758 | California |
Profile Details
| NPI number | 1649508318 |
|---|---|
| LBN Legal business name | Kannaditharayil, Deepa |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2009 |
| Last updated | Sep 9th, 2019 - about 7 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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