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Organization
PRAJAKTA DESHPANDE, MD
Active
Organization
PRAJAKTA DESHPANDE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAJAKTA ABHIJIT DESHPANDE MD (MD, DIRECTOR)
(714) 252-9150
Entity
Organization
Contact information
Practice address
6800 LINCOLN AVE, SUITE 203 B, BUENA PARK, CA 90620-4162
(714) 252-9150
(714) 252-9157
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(714) 252-9150
(714) 252-9157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD133444
CA
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
MD133444
CA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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