Provider Demographics
NPI:1497707947
Name:NAIDU, DEEPAK K (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPAK
Middle Name:K
Last Name:NAIDU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:201 E KENNEDY BLVD
Mailing Address - Street 2:410
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5181
Mailing Address - Country:US
Mailing Address - Phone:813-434-1620
Mailing Address - Fax:813-434-1621
Practice Address - Street 1:201 E KENNEDY BLVD
Practice Address - Street 2:410
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5181
Practice Address - Country:US
Practice Address - Phone:813-434-1620
Practice Address - Fax:813-434-1621
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2012-02-01
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Provider Licenses
StateLicense IDTaxonomies
FLME110564208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery