Arya, Deepa Prakash
Arya, Deepa Prakash is an individual health care provider with primary practice located at 20 Wall St Internal Medicine, Burlington MA 01803-4758. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Arya, Deepa Prakash can be contacted via phone (781) 221-2600.Contact Information
Primary practice address
20 Wall St Internal Medicine
Burlington MA 01803-4758
Phone: (781) 221-2600
Fax: (781) 221-8637
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 80360 | Massachusetts |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 80360 | Massachusetts |
Profile Details
NPI number | 1134190473 |
---|---|
LBN Legal business name | Arya, Deepa Prakash |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | May 16th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134190473 | NPPES |
Massachusetts | Other | 080360 | TUFTS |
Massachusetts | Other | AA2921 | TUFTS |
Massachusetts | MEDICAID | 2027461 | TUFTS |
Massachusetts | Other | J14943 | TUFTS |
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