Individual
DEEPAK KUMAR KADAYAKKARA KANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2805
(631) 689-8333
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(203) 384-3792
(203) 384-4294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056458
CT
207R00000X
Internal Medicine Physician
Primary
307249
NY
Other
Enumeration date
04/11/2014
Last updated
09/24/2020
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