Kudyadi, Deepti S

Kudyadi, Deepti S is an individual health care provider with primary practice located at 1901 N Macarthur Blvd , Irving TX 75061-2220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kudyadi, Deepti S can be contacted via phone (972) 579-8485.

Contact Information

Primary practice address
1901 N Macarthur Blvd Irving TX 75061-2220
Phone: (972) 579-8485
Fax: (972) 579-3972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101231803 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42242 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N5167 Texas

Profile Details

NPI number 1770554628
LBN Legal business name Kudyadi, Deepti S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jun 19th, 2023 - 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 1770554628 NPPES
Texas MEDICAID 209140702

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