Kakkera, Deepika

Kakkera, Deepika is an individual health care provider with primary practice located at 1201 S Main St , Crown Point IN 46307-8481. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Kakkera, Deepika can be contacted via phone (219) 757-5887.

Contact Information

Primary practice address
1201 S Main St Crown Point IN 46307-8481
Phone: (219) 757-5887
Fax: (219) 757-6481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053443A Indiana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01053443A Indiana

Profile Details

NPI number 1508853102
LBN Legal business name Kakkera, Deepika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 20th, 2023 - about last year

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 1508853102 NPPES
Illinois Other 0090000854 BCBS GROUP NUMBER
Illinois Other 000000906352 BCBS GROUP NUMBER
Illinois MEDICAID 200319850 BCBS GROUP NUMBER

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