Mosali, Deepthi R

Mosali, Deepthi R is an individual health care provider with primary practice located at 711 Medical Village Dr , Edgewood KY 41017. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Mosali, Deepthi R can be contacted via phone (859) 331-0774.

Contact Information

Primary practice address
711 Medical Village Dr Edgewood KY 41017
Phone: (859) 331-0774
Fax: (859) 578-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X TP579 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X TP579 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35087848 Ohio
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 35087848 Ohio
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 53087 Kentucky

Profile Details

NPI number 1538108881
LBN Legal business name Mosali, Deepthi R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 21st, 2021 - 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 1538108881 NPPES
Ohio MEDICAID 2670631
Ohio Other P01022280

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