# DEEPTHI S SAXENA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVANT-GARDE MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851681134
- **Authorized official:** DR. DEEPTHI S CULL M.D. (PRESIDENT)
- **Authorized official phone:** (847) 767-0137

## Contact information

- **Practice address:** 9355 WARRICK WELLNESS TRL, NEWBURGH, IN 47630-0015
- **Practice address phone:** (812) 476-9983
- **Mailing address:** 4225 LINCOLNSHIRE DR STE B, MOUNT VERNON, IL 62864-2157
- **Mailing address phone:** (618) 242-2317
- **Mailing address fax:** (618) 242-9710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 12455 | NV | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 07/20/2020