DEEPAK GUTTIKONDA


Address: 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250-2694
Phone: 3173537220

DEEPAK GUTTIKONDA (NPI# 1073542346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073542346
Entity Type Individual
Full Name DEEPAK GUTTIKONDA
Credential M.D.
Practice Address 8075 N Shadeland Ave Ste 330
Indianapolis
IN 46250-2694
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2805
Practice Telephone 3173537220
Practice Fax Number 3173559672
Enumeration Date 2006-06-30
Last Update Date 2018-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
01057922A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000525348 01
IN RR MEDICARE PTAN P01214609 01
IN AETNA 7014504 01
IN 200456610 05

Office Location

Street Address 8075 N SHADELAND AVE STE 330
City INDIANAPOLIS
State IN
Zip Code 46250-2694

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861037004 Angela L Davis Pharmacist 8520 Bash St, Indianapolis, IN 46250 2019-11-12
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1891222584 Confidential Drug LLC Pharmacy 8520 Bash St Ste D, Indianapolis, IN 46250 2017-05-12
1659813590 Occupational Health Centers of The Southwest Pa Clinic/Center 8257 Center Run Rd, Indianapolis, IN 46250 2016-11-09
1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
1861761934 Kb Medical, Inc. Durable Medical Equipment & Medical Supplies 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 2011-12-20
Find all providers in zip 46250

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194041764 Andrew Alexander Gonzalez Surgery 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 2010-04-08
1487761607 Abdolaziz M Ardalan Surgery 9737 Decatur Dr, Indianapolis, IN 46256-9656 2006-08-24
1255397246 Gary W Lemmon Surgery 1801 N Senate Blvd Ste D-3500, Indianapolis, IN 46202-1228 2006-04-26
1861999401 Michael David Ingram Surgery 1130 W. Michigan St, Fessler Hall 318, Indianapolis, IN 46202 2018-04-10
1851746465 Justin Rossel King Surgery 1801 N Senate Blvd, Mpc 2, Suite #3500, Indianapolis, IN 46202 2016-05-02
1629437397 Center for Vein Restoration In, LLC Surgery 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 2016-02-23
1578944427 Sarah Strot Surgery 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2015-06-17
1508285784 Shihuan Keisin Wang Surgery 545 Barnhill Dr, Indianapolis, IN 46202-5112 2014-04-15
1659676146 Gregory George Westin Surgery 1801 N Senate Blvd, Mpc2, Suite 3500, Indianapolis, IN 46202-1184 2011-01-14
1407014426 Kevin M Sheridan Surgery 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2008-05-27
Find all providers in INDIANAPOLIS

Competitor

Search similar providers

City INDIANAPOLIS
Zip Code 46250

Improve Information

Please comment or provide details below to improve the information on DEEPAK GUTTIKONDA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches