| Deepak Sarwal, Md, Llc | |
|
5563 Far Hills Ave Kettering OH 45429-2225 | |
| (937) 291-0839 | |
| (937) 291-0854 |
| Full Name | Deepak Sarwal, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5563 Far Hills Ave, Kettering, Ohio |
| Authorized Official Name and Position | Deepak Sarwal (OWNER) |
| Authorized Official Contact | 9372910839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepak Sarwal, Md, Llc Po Box 186 Bellbrook OH 45305-0186 Ph: (937) 291-0839 | Deepak Sarwal, Md, Llc 5563 Far Hills Ave Kettering OH 45429-2225 Ph: (937) 291-0839 |
| NPI Number | 1417130337 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 06/22/2009 |
| Medicare PECOS PAC ID | 9830141902 |
|---|---|
| Medicare Enrollment ID | O20050216000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417130337 | NPI | - | NPPES |
| 2141079 | Medicaid | OH | |
| 2937022 GROUP | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 35077166 (Ohio) | Primary |
| Provider Name | Deepak Sarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235159559 PECOS PAC ID: 3577543008 Enrollment ID: I20040723000830 |
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