Individual
DR. DEEPAK AWASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 N ACADIA RD STE 2100, THIBODAUX, LA 70301-5078
(985) 447-2645
(985) 447-2604
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 447-2645
(985) 447-2604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L07590R
LA
207T00000X
Neurological Surgery Physician
Primary
MD.07590R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925888
—
LA
Enumeration date
03/22/2006
Last updated
02/26/2026
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