Provider Demographics
NPI:1821236084
Name:KASHYAP, DEEPALI (MD)
Entity Type:Individual
Prefix:
First Name:DEEPALI
Middle Name:
Last Name:KASHYAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 GALLERIA DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6685
Mailing Address - Country:US
Mailing Address - Phone:702-983-2010
Mailing Address - Fax:702-945-0322
Practice Address - Street 1:1389 GALLERIA DR
Practice Address - Street 2:SUITE 220
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6685
Practice Address - Country:US
Practice Address - Phone:702-983-2010
Practice Address - Fax:702-945-0322
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13695207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1821236084Medicaid
NV1821236084Medicaid