DR. DEEPALI NIVAS TUKAYE


Address: 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223
Phone: 4049626000

DR. DEEPALI NIVAS TUKAYE (NPI# 1730404120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730404120
Entity Type Individual
Full Name DR. DEEPALI NIVAS TUKAYE
Credential MD
Practice Address 1505 Northside Blvd Ste 3400
Cumming
GA 30041-8223
Practice Telephone 4049626000
Practice Fax Number 4049626001
Mailing Telephone 4049626000
Mailing Fax Number 4049626001
Enumeration Date 2010-03-29
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
84654 GA Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
E-10764 AR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1159 Main St, Vilonia, AR 721739525 5013586905 5015135338
525 Western Ave Ste 202, Conway, AR 720344980 5013586905 5015135338

Office Location

Street Address 1505 NORTHSIDE BLVD STE 3400
City CUMMING
State GA
Zip Code 30041-8223

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NPI Name Taxonomy Address Enumeration
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1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1487140893 Bhbd LLC Chiropractor 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 2018-07-09
1891219861 Anna Gawrys Pharmacist 1525 Marketplace Blvd, Cumming, GA 30041 2017-08-01
1679029219 Square One Dental LLC Clinic/Center 3510 Rowe Lane, Cumming, GA 30041 2016-09-01
1720441454 Pavilion Psychological Services LLC Psychologist 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 2016-03-31
1346606506 American Health Imaging of Ga, LLC Clinic/Center 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 2016-01-04
1013311307 Stephen Hartle Physician Assistant 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 2014-10-15
1063828408 Stephanie Evans Wellborn Physician Assistant 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 2014-07-07
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811199946 Mehul Ramesh Bhatt Internal Medicine 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 2007-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669019394 Champ Vascular, LLC Internal Medicine 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 2019-12-02
1174006159 Kendall M Griffith Md LLC Internal Medicine 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 2018-09-14
1558869826 Coordinated Health of Ga, LLC Internal Medicine 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 2018-01-31
1447559604 David Brendan Casey Internal Medicine 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 2011-03-26
1659560647 Oduwole Organization Inc Internal Medicine 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 2007-10-16
1053487462 Tiftarea Cardiology Internal Medicine 907 E. 18th St, Ste 100, Tifton, GA 31794 2006-11-28
1255412094 Jeetendra B Patel Internal Medicine 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 2006-10-18
1811082605 Cardiac Disease Specialists, PC Internal Medicine 296 Merchants Sq, Dallas, GA 30132-5029 2006-10-04
1770508756 Hunt Dandridge Anderson Internal Medicine 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 2006-07-12
1811921471 Joshua Michael Willis Internal Medicine 6001 Professional Pkwy Ste 2080, Douglasville, GA 30134 2006-07-10
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Competitor

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City CUMMING
Zip Code 30041

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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