Gurushanthaiah, Deepak
Gurushanthaiah, Deepak is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gurushanthaiah, Deepak can be contacted via phone (510) 752-1000.Contact Information
Primary practice address
275 W Macarthur Blvd
Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A82971 | California |
Profile Details
| NPI number | 1811075682 |
|---|---|
| LBN Legal business name | Gurushanthaiah, Deepak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 9th, 2021 - about 4 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 | 1811075682 | NPPES |
| California | MEDICAID | 00A829710 |
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