Provider Demographics
NPI:1487821989
Name:ADHIKARI, DEEP (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEP
Middle Name:
Last Name:ADHIKARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TOMMY STALNAKER DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8956
Mailing Address - Country:US
Mailing Address - Phone:478-333-3612
Mailing Address - Fax:478-333-3631
Practice Address - Street 1:105 TOMMY STALNAKER DR
Practice Address - Street 2:SUITE 1
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8956
Practice Address - Country:US
Practice Address - Phone:478-333-3612
Practice Address - Fax:478-333-3631
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA70025207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine