# DR. DEEPA CAMENGA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952318214
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 47964 | CT | Yes |
| 208000000X | Pediatrics Physician | 47964 | CT | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 01/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004041000 | APT FOUNDATION MEDICAID | CT |
| 01 | — | 004217099 | APT FOUNDATION MEDICAID | CT |
| 01 | — | 008003745 | APT FOUNDATION MEDICAID | CT |
| 05 | — | 008040283 | — | CT |