Individual
DEEPA VELAYADIKOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, THE COOPER HOSPITALIST TEAM, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07155100
NJ
208M00000X
Hospitalist Physician
Primary
25MA07155100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000542001
AMERICHOICE
—
01
—
1104234
CIGNA
—
01
—
1352655
PA BLUE SHIELD
PA
01
—
1448496
AETNA
—
01
—
2045126000
AMERIHEALTH HMO, PPO, KEYSTONE
—
01
—
2165652
UNITED HEALTHCARE
—
01
—
3K6200
HEALTHNET
—
01
—
41071
UNIVERSITY HEALTHPLAN
—
05
—
8533008
—
NJ
01
—
P00400176
RR MEDICARE
—
01
—
P3737072
OXFORD
—
Enumeration date
07/15/2006
Last updated
11/20/2019
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