Individual
DEEPTHI SUDHAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100
(619) 616-2104
Mailing address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100
(619) 616-2104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10049484
TX
207RC0000X
Cardiovascular Disease Physician
A171932
CA
207RI0011X
Interventional Cardiology Physician
Primary
A171932
CA
Other
Enumeration date
04/28/2014
Last updated
03/16/2026
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