Mukundan, Deepa

Mukundan, Deepa is an individual health care provider with primary practice located at 2150 W Central Ave Fl 2 , Toledo OH 43606-3834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Mukundan, Deepa can be contacted via phone (419) 291-5599.

Contact Information

Primary practice address
2150 W Central Ave Fl 2 Toledo OH 43606-3834
Phone: (419) 291-5599
Fax: (419) 291-6468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35-088176 Ohio

Profile Details

NPI number 1023111200
LBN Legal business name Mukundan, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jun 9th, 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 1023111200 NPPES
Ohio MEDICAID 2694731

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