Individual
DR. DEEPAK KUMAR PRUTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9600
(210) 450-9567
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
642971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365582101
—
TX
01
—
365582102
CSHCN
TX
Enumeration date
04/22/2016
Last updated
01/23/2017
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