Individual
DEEPAK BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-0099
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059231A
IN
207RC0000X
Cardiovascular Disease Physician
01059231
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01059231A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01059231A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
11009841A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
11009841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355863
ANTHEM BCBS
IN
05
—
200495790
—
IN
01
—
P00743613
RAILROAD MEDICARE
IN
Enumeration date
04/17/2006
Last updated
07/29/2025
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