Dr. Deepa Mukundan
Pediatric Infectious Diseases
2150 W Central Ave Fl 2
Toledo
, Ohio 43606-3834
Dr. Deepa Mukundan
Pediatric Infectious Diseases
2150 W Central Ave Fl 2
Toledo
, Ohio 43606-3834
(419) 291-6468
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Deepa Mukundan
- 3355 Glendale Ave Fl 3
- Toledo, OH
- Zip : 43614-2426
- Fax : (419) 291-6468
- Phone : (419) 291-5599
Second Address
- Dr. Deepa Mukundan
- 2150 W Central Ave Fl 2
- Toledo, OH
- Zip : 43606-3834
- Fax : (419) 291-6468
- Phone : (419) 291-5599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 35-088176 | OH |
National Provider Identifier
| NPI | 1023111200 |
|---|---|
| Provider Name | Dr. Deepa Mukundan |
| First Address | Toledo, OH 43614-2426 |
| Second Address | Toledo, OH 43606-3834 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 16/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2694731 | (05) | OH |
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.