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Individual

DR. DEEPAK KATYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 SIVLEY RD SW, SUITE 400, HUNTSVILLE, AL 35801-5134
(256) 265-2895
(256) 265-9777
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-2895
(256) 265-9777

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19955
AL
2086S0102X
Surgical Critical Care Physician
00019955
AL
2086S0102X
Surgical Critical Care Physician
19955
AL
2086S0127X
Trauma Surgery Physician
00019955
AL
2086S0127X
Trauma Surgery Physician
Primary
19955
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000031307
AL
01
051031307
BCBS
AL
Enumeration date
02/17/2006
Last updated
09/22/2021
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