Luka, Deepa Vaduthalakuzhy

Luka, Deepa Vaduthalakuzhy is an individual health care provider with primary practice located at 15901 Bass Rd Ste 108 , Fort Myers FL 33908-3838. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Luka, Deepa Vaduthalakuzhy can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838
Phone: (239) 343-6050
Fax: (239) 343-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 52798 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME160807 Florida

Profile Details

NPI number 1023503026
LBN Legal business name Luka, Deepa Vaduthalakuzhy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2018
Last updated Sep 29th, 2023 - 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 1023503026 NPPES
Florida MEDICAID 119276600

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