| Deepak Vadhan,md Fccp,pc | |
|
9920 4th Ave Ste 308 Brooklyn NY 11209-8331 | |
| (718) 836-4040 | |
| (718) 836-4040 |
| Full Name | Deepak Vadhan,md Fccp,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9920 4th Ave Ste 308, Brooklyn, New York |
| Authorized Official Name and Position | Deepak Vadhan (PRESIDENT) |
| Authorized Official Contact | 7188364040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepak Vadhan,md Fccp,pc Po Box 58 Atlantic Beach NY 11509-0058 Ph: (718) 836-4040 | Deepak Vadhan,md Fccp,pc 9920 4th Ave Ste 308 Brooklyn NY 11209-8331 Ph: (718) 836-4040 |
| NPI Number | 1497804819 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264534783 |
|---|---|
| Medicare Enrollment ID | O20070301000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497804819 | NPI | - | NPPES |
| 01209934 | Medicaid | NY |
| Provider Name | Deepak Vadhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245314954 PECOS PAC ID: 4082682091 Enrollment ID: I20040917000801 |
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