Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Deepa Kannaditharayil, MBBS

Individual provider Neurology Physician · NPI 1649508318

Mrs. Deepa Kannaditharayil, MBBS is a Neurology in Modesto, California. Qualified in 2006, 20 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2009
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 550-4785
Fax: (209) 550-4888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A143758 (CA)

Record details

NPI number1649508318
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBBS
Sole proprietorNo
NPI enumeratedNovember 18, 2009
Last updated in NPPESSeptember 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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