Karibassappa, Deepak

Karibassappa, Deepak is an sole proprietor health care provider with primary practice located at 300 Rockefeller Dr , Muskogee OK 74401-5075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Karibassappa, Deepak can be contacted via phone (918) 502-1900.

Contact Information

Primary practice address
300 Rockefeller Dr Muskogee OK 74401-5075
Fax: (918) 494-6303
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25764 Oklahoma

Profile Details

NPI number 1770776627
LBN Legal business name Karibassappa, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Feb 23rd, 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 1770776627 NPPES
Oklahoma MEDICAID 20019707A

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