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DEEPTHI KETHA
NPI 1720874910
Student in an Organized Health Care Education/Training Program in Smithtown, NY

Active since April 16, 2025
50 NEW YORK AVE # 25A, SMITHTOWN, NY 11787(631) 376-4163 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deepthi Ketha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEPTHI KETHA (NPI 1720874910) is an individual student in an organized health care education/training program in Smithtown, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1720874910
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEEPTHI KETHA
Location Address50 NEW YORK AVE # 25ASmithtown, NY 11787-3448
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927
Phone(631) 376-4163
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1720874910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
50 NEW YORK AVE # 25A, Smithtown, NY 11787
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DONALD PETER JOHNSON
Nurse Practitioner (Family)
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
CHRISTOPHER RIO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
JINCY RAJAN MD
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748
MR. MICHAEL CRESSON NP
Nurse Practitioner (Adult Health)
50 NEW YORK AVE # 25A, CARDIAC CATH LAB
SMITHTOWN, NY 11787
Suffolk County (631) 862-3215
DAVID RAPOPORT MD
Emergency Medicine
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
COURTNEY KENNEDY DO
Emergency Medicine
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
KENNY WANG PA
Physician Assistant
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (904) 372-3943
AIDA BOUMIZA DO
Student in an Organized Health Care Education/Training Program
50 NEW YORK AVE # 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deepthi Ketha's NPI number?

The NPI number for Deepthi Ketha is 1720874910. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Deepthi Ketha located?

Deepthi Ketha practices at 50 New York Ave # 25A, Smithtown, NY 11787. The listed phone number is (631) 376-4163.

What is Deepthi Ketha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deepthi Ketha was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.