Most Relevant Information
Provider Data
| NPI Number: | 1003042672 |
| Provider Name: | DEEPAK VADADA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | AL4088604171 |
Most Important Dates
| Enumeration Date: | 06/09/2009 |
| Last Updated: | 10/01/2019 |
Provider Practice Location
1050 CLOVE RD
STATEN ISLAND
NY
103013627
Practice Location Phone/Fax
| Phone: | 7188166440 |
| Fax: | 7188163611 |
Provider Mailing Location
55 WATER STREET
2ND FLOOR CRED DEPT
NEW YORK
NY
100410004
Provider Mailing Phone/Fax
| Phone: | 6466802888 |
| Fax: | 5165425556 |
Suggested EMR
Gastroenterology EMR