Organization
DEEPAK VADHAN,MD FCCP,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK VADHAN M.D. (PRESIDENT)
(718) 836-4040
Entity
Organization
Contact information
Practice address
9920 4TH AVE STE 308, BROOKLYN, NY 11209-8331
(718) 836-4040
(718) 836-4040
Mailing address
PO BOX 58, ATLANTIC BEACH, NY 11509-0058
(718) 836-4040
(718) 836-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01209934
—
NY
Enumeration date
01/09/2007
Last updated
09/11/2025
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