Healthcare Provider Details

I. General information

NPI: 1033013008
Provider Name (Legal Business Name): DEEKSHA VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6380 READ RD
SUWANEE GA
30024-4585
US

IV. Provider business mailing address

6380 READ RD
SUWANEE GA
30024-4585
US

V. Phone/Fax

Practice location:
  • Phone: 317-405-7112
  • Fax:
Mailing address:
  • Phone: 317-405-7112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: YOKESH BALARAMAN
Title or Position: OWNER
Credential:
Phone: 317-405-7112