Provider Demographics
NPI:1326501016
Name:KESANI, DEEPAK (DO)
Entity Type:Individual
Prefix:
First Name:DEEPAK
Middle Name:
Last Name:KESANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNTAINVIEW HOSPITAL GME
Mailing Address - Street 2:3100 N TENAYA WAY
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-962-3100
Mailing Address - Fax:
Practice Address - Street 1:MOUNTAINVIEW HOSPITAL GME
Practice Address - Street 2:3100 N TENAYA WAY
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-962-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty