Deepak Naidu MD, PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME110564 Issued in FL

Legal business name

DEEPAK NAIDU MD, PA

Doing business as

Deepak K. Naidu, MD Plastic Surgery

Practice address

201 E Kennedy Blvd Ste 410
Tampa, FL 33602-3641

Phone

(813) 434-1620

Fax

(813) 434-1621

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deepak K. Naidu, MDNPI 1497707947

Title

President

Phone

(813) 434-1620

Specialties & licenses 1

Addresses

Other names 1

• Deepak K. Naidu, MD Plastic Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepak K Naidu, M.D.

  • Plastic Surgery Physician
  • Tampa, FL
  • NPI 1497707947
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1588165773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD STE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023641",
            "telephone_number": "813-434-1620",
            "fax_number": "813-434-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD STE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023641",
            "telephone_number": "813-434-1620",
            "fax_number": "813-434-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK NAIDU MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "NAIDU",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-434-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME110564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deepak K. Naidu, MD Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Elizabeth Dedomenico, MA, CCC-SLP
• Alex R Deem, MD
• Deen G King MD PA
• Deanna Deenihan
• Deep Roots Project, LLC
• Collin Dees, PA-C
• Antoinette C Defazio, PH.D
• Theodore Anthony Defelice
• Anna Defilippis, MD
• Angela Defina

• Plastic and Reconstructive Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.