MEDICARE: DEEPAK YADAV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1437946183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPAK YADAV

Provider Business Mailing Address
First Line	:	745 WEST MOANA LANE, SUITE 300, UNIVERSITY OF NEVADA, R
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509
Country	:	US
Telephone Number	:	775-682-8515
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 WEST MOANA LANE, SUITE 300, UNIVERSITY OF NEVADA, R
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509
Country	:	US
Telephone Number	:	775-682-8515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	12/23/2025

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Directions to “ DEEPAK YADAV ” Practice Location

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