Individual
DR. DEEPTI S KUDYADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8485
(972) 579-3972
Mailing address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101231803
VA
207R00000X
Internal Medicine Physician
Primary
N5167
TX
208M00000X
Hospitalist Physician
42242
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209140702
—
TX
Enumeration date
01/30/2006
Last updated
06/19/2023
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