Individual
DEEPAK VADADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3611
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
AL4088604171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03351342
—
NY
Enumeration date
06/09/2009
Last updated
10/13/2025
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