MEDICARE: DEEPALI TUKAYE

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	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1093555047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEPALI TUKAYE

Provider Business Mailing Address
First Line	:	1411 PALMETTO DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 GULF FWY S STE 500
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-6742
Country	:	US
Telephone Number	:	832-400-2777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEEPALI TUKAYE
Credential	:
Telephone Number	:	410-961-4914

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	05/28/2024

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Directions to “DEEPALI TUKAYE ” Practice Location

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