Azad, Deepak G.
Azad, Deepak G. is an sole proprietor health care provider with primary practice located at 3505 Charlevoix Ct , Floyds Knobs IN 47119-9761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Azad, Deepak G. can be contacted via phone (502) 216-2900.Contact Information
Primary practice address
3505 Charlevoix Ct
Floyds Knobs IN 47119-9761
Phone: (502) 216-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | 01043333 | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35511 | Kentucky |
Profile Details
| NPI number | 1083636930 |
|---|---|
| LBN Legal business name | Azad, Deepak G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Oct 26th, 2016 - about 8 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 | 1083636930 | NPPES |
| Kentucky | MEDICAID | 64880099 | |
| Kentucky | MEDICAID | 200028800B |
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