Kuchelan, Deepa
Kuchelan, Deepa is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Kuchelan, Deepa can be contacted via phone (570) 888-5858.Contact Information
Primary practice address
1 Guthrie Sq
Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-2508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD427160 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD427160 | Pennsylvania |
Profile Details
| NPI number | 1811966765 |
|---|---|
| LBN Legal business name | Kuchelan, Deepa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811966765 | NPPES |
| Pennsylvania | MEDICAID | 1013438990001 | |
| Pennsylvania | MEDICAID | 02678779 | |
| Pennsylvania | Other | CC9269 | |
| Pennsylvania | Other | GU039812 | |
| Pennsylvania | Other | P00240756 |
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