Deepak Guttikonda
Vascular Surgeon
8075 N Shadeland Ave Ste 330
Indianapolis
, Indiana 46250-2694
Deepak Guttikonda
Vascular Surgeon
8075 N Shadeland Ave Ste 330
Indianapolis
, Indiana 46250-2694
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Deepak Guttikonda
- 6626 E 75th St Suite 500
- Indianapolis, IN
- Zip : 46250-2805
- Phone :
Second Address
- Deepak Guttikonda
- 8075 N Shadeland Ave Ste 330
- Indianapolis, IN
- Zip : 46250-2694
- Fax : (317) 355-9672
- Phone : (317) 353-7220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 01057922A | IN |
National Provider Identifier
| NPI | 1073542346 |
|---|---|
| Provider Name | Deepak Guttikonda |
| First Address | Indianapolis, IN 46250-2805 |
| Second Address | Indianapolis, IN 46250-2694 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 11/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000525348 | ANTHEM (01) | IN |
| 200456610 | (05) | IN |
| 7014504 | AETNA (01) | IN |
| I03640 | (02) | IN |
| P01214609 | RR MEDICARE PTAN (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.