Thayi, Deepa Ravindranath
Thayi, Deepa Ravindranath is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Thayi, Deepa Ravindranath can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
10240 Park Meadows Dr
Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E-5494 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A93046 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 52377 | Colorado |
Profile Details
| NPI number | 1508983347 |
|---|---|
| LBN Legal business name | Thayi, Deepa Ravindranath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jun 11th, 2021 - about 4 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 | 1508983347 | NPPES |
| Colorado | Other | 023514 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 90779223 | KAISER COMMERCIAL NUMBER |
| Colorado | Other | 08020014600 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 166995001 | KAISER COMMERCIAL NUMBER |
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