Individual
DEEPTI KALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3107 W CAMP WISDOM RD STE 110, DALLAS, TX 75237-2600
(214) 765-2222
(214) 269-9902
Mailing address
3107 W CAMP WISDOM RD STE 110, DALLAS, TX 75237-2600
(214) 765-2222
(214) 269-9902
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35C000445
OH
207RH0003X
Hematology & Oncology Physician
S1620
TX
207RX0202X
Medical Oncology Physician
35C00445
OH
207RX0202X
Medical Oncology Physician
S1620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122442
—
MO
Enumeration date
08/09/2013
Last updated
07/23/2024
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