Kudalkar, Deepa Prasad

Kudalkar, Deepa Prasad is an sole proprietor health care provider with primary practice located at 379 Dixmyth Ave , Cincinnati OH 45220-2475. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Kudalkar, Deepa Prasad can be contacted via phone (513) 246-7016.

Contact Information

Primary practice address
379 Dixmyth Ave Cincinnati OH 45220-2475
Phone: (513) 246-7016
Fax: (513) 852-3283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11197 Nevada
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35-092770 Ohio

Profile Details

NPI number 1437157146
LBN Legal business name Kudalkar, Deepa Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 30th, 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 1437157146 NPPES
Kentucky Other 7100287660 MEDICAID
Kentucky Other 760174 MEDICAID
Kentucky Other H110400 MEDICAID
Kentucky Other 2980181 MEDICAID
Kentucky Other 699435 MEDICAID
Kentucky Other 737691 MEDICAID
Kentucky Other 7708721 MEDICAID
Kentucky Other P01107611 MEDICAID

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