Mittal, Deepak

Mittal, Deepak is an individual health care provider with primary practice located at 47 Cavalier Blvd Suite 120, Florence KY 41042-3969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mittal, Deepak can be contacted via phone (859) 757-4353.

Contact Information

Primary practice address
47 Cavalier Blvd Suite 120 Florence KY 41042-3969
Phone: (859) 757-4353
Fax: (859) 534-0865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34456 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34456 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35.079382 Ohio

Profile Details

NPI number 1447296538
LBN Legal business name Mittal, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 25th, 2013 - about 12 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 1447296538 NPPES
Ohio MEDICAID 2275210
Ohio MEDICAID 64344559

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