Individual
DEEPA VINAYA NAMBURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 462-5544
Mailing address
801 N STATE ST, GREENFIELD, IN 46140-1270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01094253A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
07/08/2025
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