Edward, Deepak P

Edward, Deepak P is an individual health care provider with primary practice located at 1855 W Taylor St , Chicago IL 60612-7242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Edward, Deepak P can be contacted via phone (312) 996-7030.

Contact Information

Primary practice address
1855 W Taylor St Chicago IL 60612-7242
Phone: (312) 996-7030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35090220 Ohio
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 036088088 Illinois

Profile Details

NPI number 1144230293
LBN Legal business name Edward, Deepak P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 20th, 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 1144230293 NPPES
Ohio MEDICAID 2770925

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