Sampathu, Deepak Mavahalli

Sampathu, Deepak Mavahalli is an individual health care provider with primary practice located at 3400 Spruce St 1 Silverstein, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sampathu, Deepak Mavahalli can be contacted via phone (215) 662-3000.

Contact Information

Primary practice address
3400 Spruce St 1 Silverstein Philadelphia PA 19104
Phone: (215) 662-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD447827 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD447827 Pennsylvania

Profile Details

NPI number 1326246711
LBN Legal business name Sampathu, Deepak Mavahalli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 12th, 2015 - about 11 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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