Individual
DEEPANVITA KALVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 383-5502
(419) 383-5515
Mailing address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 383-5502
(419) 383-5515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301509743
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
08/21/2023
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