Individual
DEEPAK VALLABHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1490 SE MAGNOLIA EXT, OCALA, FL 34471-4443
(352) 351-7200
(706) 653-1230
Mailing address
1490 SE MAGNOLIA EXT, OCALA, FL 34471-4443
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
64928
TN
2085R0202X
Diagnostic Radiology Physician
98539
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME148604
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
09/19/2025
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