NPI 1003042672

Deepak Vadada, MD

Practitioner Gastroenterology Physician Staten Island, NY

Practice location

Address: 1050 Clove Rd, Staten Island, NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3611
Mailing address: 55 Water St Fl 2, New York, NY 10041-0010

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence AL4088604171 (NY)

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Registry record

NPI: 1003042672
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2009
Record last updated: 13 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.