Provider Demographics
NPI:1790794246
Name:SARKAR, DEEPAK R (MD,)
Entity Type:Individual
Prefix:DR
First Name:DEEPAK
Middle Name:R
Last Name:SARKAR
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 1:45801 CENTRAL CAMP RD
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-5723
Mailing Address - Country:US
Mailing Address - Phone:361-658-7721
Mailing Address - Fax:
Practice Address - Street 1:45801 CENTRAL CAMP RD
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-5723
Practice Address - Country:US
Practice Address - Phone:361-658-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129436207LC0200X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine