Active NPI
Deepak Kumar Palanichami, M.D.
- Student in an Organized Health Care Education/Training Program
- Jonesboro, AR
National Provider Identifier
1619810124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 225 E. Washington Avenue
Jonesboro, AR 72401 - Phone
- (870) 910-7799
- Fax
- (870) 336-2999
- NPI assigned
- Apr 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
225 E. Washington Avenue
Jonesboro, AR 72401
Mailing address
300 Carson Street
Jonesboro, AR 72401
Phone (870) 910-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1619810124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CARSON STREET",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-910-7799",
"fax_number": "870-336-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E. WASHINGTON AVENUE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-910-7799",
"fax_number": "870-336-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANICHAMI",
"first_name": "DEEPAK KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.