Thatai, Deepak

Thatai, Deepak is an individual health care provider with primary practice located at 103 Garland St Medical Specialties, Everett MA 02149-5066. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Thatai, Deepak can be contacted via phone (617) 843-0752.

Contact Information

Primary practice address
103 Garland St Medical Specialties Everett MA 02149-5066
Phone: (617) 843-0752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301069394 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 238276 Massachusetts

Profile Details

NPI number 1992742993
LBN Legal business name Thatai, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 8th, 2012 - about 14 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 1992742993 NPPES
Massachusetts MEDICAID 2168235

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