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General NPI Number Information
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NPI Number | 1427138874
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Entity Type | Individual
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Provider Name | DEEPAK SUDHEENDRA MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 6790 PERIMETER DR STE 200
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City | DUBLIN
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State | OH
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Zip | 43016-8068
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Country | US
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Telephone | 614-602-4088
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Fax | 614-591-3958
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Provider Business Mailing Address
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Address Line | 6790 PERIMETER DR STE 200
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City | DUBLIN
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State | OH
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Zip | 43016-8068
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Country | US
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Telephone | 614-602-4088
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Fax | 614-591-3958
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.090048
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD428866
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35.090048
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License Number State | OH
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