MEDICARE: DEEPTHI CULL MD PLLC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1578427332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEEPTHI CULL MD PLLC

Provider Business Mailing Address
First Line	:	4225 LINCOLNSHIRE DR STE B
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2157
Country	:	US
Telephone Number	:	618-318-8416
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 E WOODMEN RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2601
Country	:	US
Telephone Number	:	618-318-8416
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DEEPTHI CULL
Credential	:	MD
Telephone Number	:	847-767-0137

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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