Prakashpathy, Deepa

Prakashpathy, Deepa is an individual health care provider with primary practice located at 1661 Soquel Dr Suite D, Santa Cruz CA 95065-1709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Prakashpathy, Deepa can be contacted via phone (831) 460-6041.

Contact Information

Primary practice address
1661 Soquel Dr Suite D Santa Cruz CA 95065-1709
Phone: (831) 460-6041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12021 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12021 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A97307 California

Profile Details

NPI number 1255413720
LBN Legal business name Prakashpathy, Deepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 25th, 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 1255413720 NPPES
Nevada MEDICAID PENDING

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