Individual
DEEPAK N GABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N MICHIGAN ST, STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR, STE 100, GRANGER, IN 46530-1380
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070561A
IN
207RC0000X
Cardiovascular Disease Physician
01070561A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01070561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037002
—
IN
Enumeration date
04/03/2006
Last updated
05/01/2023
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