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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1083636930 NPPES
Kentucky MEDICAID 64880099
Kentucky MEDICAID 200028800B

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