Camenga, Deepa

Camenga, Deepa is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Camenga, Deepa can be contacted via phone (203) 688-5555.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47964 Connecticut
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 47964 Connecticut

Profile Details

NPI number 1952318214
LBN Legal business name Camenga, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 24th, 2022 - about 3 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 1952318214 NPPES
Connecticut Other 008003745 APT FOUNDATION MEDICAID
Connecticut MEDICAID 008040283 APT FOUNDATION MEDICAID
Connecticut Other 004217099 APT FOUNDATION MEDICAID
Connecticut Other 004041000 APT FOUNDATION MEDICAID

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