Provider Demographics
NPI:1043213200
Name:MERCHANT, DEEPAK P (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPAK
Middle Name:P
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10710 CHARTER DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3128
Mailing Address - Country:US
Mailing Address - Phone:443-546-1600
Mailing Address - Fax:443-546-1616
Practice Address - Street 1:10710 CHARTER DR
Practice Address - Street 2:STE 230
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3128
Practice Address - Country:US
Practice Address - Phone:443-546-1600
Practice Address - Fax:443-546-1616
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2018-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0021768208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD030691600Medicaid
MD030691600Medicaid