# DEEPAK S. MAHAJAN PHYSICIAN P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376567925
- **Authorized official:** DR. SUCHETA D MAHAJAN M.D. (ATTENDING)
- **Authorized official phone:** (516) 627-4577

## Contact information

- **Practice address:** 8675 MIDLAND PKWY, SUITE 2, JAMAICA, NY 11432-3058
- **Practice address phone:** (718) 523-2177
- **Practice address fax:** (718) 523-2133
- **Mailing address:** 38 LAKE DR, NEW HYDE PARK, NY 11040-1123
- **Mailing address phone:** (516) 627-4577
- **Mailing address fax:** (718) 523-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 238466 | NY | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/17/2015