Kadiyala, Deepak

Kadiyala, Deepak is an individual health care provider with primary practice located at 350 Hospital Dr , Macon GA 31217-3838. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kadiyala, Deepak can be contacted via phone (478) 765-7000.

Contact Information

Primary practice address
350 Hospital Dr Macon GA 31217-3838
Phone: (478) 765-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47678 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01071837 Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 73309 Georgia

Profile Details

NPI number 1417129610
LBN Legal business name Kadiyala, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated May 24th, 2022 - about 2 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 1417129610 NPPES
Indiana MEDICAID 201129470

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