NPI 1639870843
Deepthi Kallakuri, CEP
Practice location
- Address
- 350 Engle Street, Englewood, NJ 07631-0763
- Phone
- (201) 894-3285
- Mailing address
- 329 S Pleasant Ave, Ridgewood, NJ 07450-5335
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1639870843
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Mar 2023
- Record last updated
- 14 Mar 2023
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.