# PRAJAKTA DESHPANDE, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265830673
- **Authorized official:** PRAJAKTA ABHIJIT DESHPANDE MD (MD, DIRECTOR)
- **Authorized official phone:** (714) 252-9150

## Contact information

- **Practice address:** 6800 LINCOLN AVE, SUITE 203 B, BUENA PARK, CA 90620-4162
- **Practice address phone:** (714) 252-9150
- **Practice address fax:** (714) 252-9157
- **Mailing address:** PO BOX 8051, YAKIMA, WA 98908-0051
- **Mailing address phone:** (714) 252-9150
- **Mailing address fax:** (714) 252-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD133444 | CA | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | MD133444 | CA | Yes |

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/17/2014