Provider Demographics
NPI:1528066206
Name:STOKES, DEEPAK KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:DEEPAK
Middle Name:KUMAR
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3200 WALFORD AVE # E
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4828
Mailing Address - Country:US
Mailing Address - Phone:707-445-3443
Mailing Address - Fax:707-445-1848
Practice Address - Street 1:3200 WALFORD AVE # E
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4828
Practice Address - Country:US
Practice Address - Phone:707-445-3443
Practice Address - Fax:707-445-1848
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33996207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A339960Medicaid
A27325Medicare UPIN