| Doctor Name: | DR. DEEPAK G. AZAD |
| NPI Number: | 1083636930 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01043333 |
| Business Practice Address: | 1366 N Gardner St Scottsburg, IN - 471707793 |
| Business Phone Number: | 8127520165 |
| Business Fax Number: | 8127520163 |
| Mailing Address: | 3505 Charlevoix Ct, FLOYDS KNOBS |
| State: | IN |
| Postal Code: | 471199761 |
| Phone Number: | 5022162900 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | 01043333 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |