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Contact Information

DEEPAK CHANDRA, MD
5 MEDICAL PLAZA DR STE 190
ROSEVILLE, CA95661-2867
 Phone: 916-679-3590
 Fax: 530-870-8537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEEPAK CHANDRA · (Male)

NPI # 1790030286
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2012
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A154515
Hospital affiliation(s)
  • RIDEOUT MEMORIAL HOSPITAL - (Acute Care)
    726 4TH ST
    MARYSVILLE, CA 95901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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