Gotur, Deepa Bangalore

Gotur, Deepa Bangalore is an individual health care provider with primary practice located at 6565 Fannin St F270, Houston TX 77030-2703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Gotur, Deepa Bangalore can be contacted via phone (713) 441-3020.

Contact Information

Primary practice address
6565 Fannin St F270 Houston TX 77030-2703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 242789 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X N0628 Texas

Profile Details

NPI number 1063671600
LBN Legal business name Gotur, Deepa Bangalore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Sep 1st, 2015 - 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 1063671600 NPPES
Texas MEDICAID 201387201
Texas Other 8BQ747
Texas Other P01123925
Texas MEDICAID 201387203
Texas Other P01402887
Texas MEDICAID 201387202
Texas Other 8EE524

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