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Contact Information

DEEPAK BOMMISETTY, MD
1441 N BECKLEY AVE
DALLAS, TX75203
 Phone: 214-947-2455
 Fax: 214-947-2390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DEEPAK BOMMISETTY · (Male)

NPI # 1922454982
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2016
Last updated 12/13/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R8868
Hospital affiliation(s)
  • METHODIST DALLAS MEDICAL CENTER - (Acute Care)
    1441 NORTH BECKLEY AVENUE
    DALLAS, TX 75203
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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