Mittal, Deepak
Mittal, Deepak is an individual health care provider with primary practice located at 47 Cavalier Blvd Suite 120, Florence KY 41042-3969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mittal, Deepak can be contacted via phone (859) 757-4353.Contact Information
Primary practice address
47 Cavalier Blvd Suite 120
Florence KY 41042-3969
Phone: (859) 757-4353
Fax: (859) 534-0865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34456 | Kentucky |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 34456 | Kentucky |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.079382 | Ohio |
Profile Details
| NPI number | 1447296538 |
|---|---|
| LBN Legal business name | Mittal, Deepak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 25th, 2013 - about 13 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 | 1447296538 | NPPES |
| Ohio | MEDICAID | 2275210 | |
| Ohio | MEDICAID | 64344559 |
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