Active NPIIndividual providerSole proprietor

Dr. Deepthi Deconda, MD

Internal Medicine, Gastroenterology in Fall River, Massachusetts

NPI Number1477727451
Practice location
1030 President Ave, Suite 110, Fall River, MA 02720-5923
Fax
508-973-1715
Last updated
April 21, 2020

Deepthi Deconda is an Internal Medicine, Gastroenterology based in Fall River, MA. Deepthi Deconda practices in Fall River, MA and has the professional credentials of MD. The NPI Number for Deepthi Deconda is 1477727451 and holds a License No. MD14439 (RI). The current practice location address for Deepthi Deconda is 1030 President Ave, Suite 110, Fall River, MA 02720-5923 and can be reached out via phone at 508-235-6349 and via fax at 508-973-1715.

Provider Profile Details

NPI Number
1477727451
Provider Name
Deepthi Deconda
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1030 President Ave, Suite 110, Fall River, MA 02720-5923
Phone Number
508-235-6349
Fax Number
508-973-1715
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2008
Last Update Date
April 21, 2020
Certification Date
April 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 President Ave
Suite 110
Fall River, MA 02720-5923
Zip
02720-5923
Phone Number
508-235-6349
Fax Number
508-973-1715
Fall River, MA 02720Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD
Suite 180
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number (1)
MD14439
License State (1)
RI
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
254999
License State (2)
MA
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Deepthi Deconda, MD?

The NPI number of Dr. Deepthi Deconda, MD is 1477727451. It was assigned on April 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Deepthi Deconda, MD?

Dr. Deepthi Deconda, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in RI under license number MD14439.

Where does Dr. Deepthi Deconda, MD practice?

The practice location is 1030 President Ave, Suite 110, Fall River, MA 02720-5923. The office can be reached at 508-235-6349 (phone) or 508-973-1715 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477727451 directly on the NPPES registry website.

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