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Individual

AVI DESHMUKH

Active
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Individual

AVI DESHMUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H1067
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101878001
—
TX
01
—
111591100
FIRST CARE PROVIDER NUMBE
TX
01
—
340008824
RAILROAD MEDICARE PROV NO
TX
01
—
4458935
AETNA PROVIDER NUMBER
TX
01
—
814764
BCBS PROVIDER NUMBER
TN
01
—
9792483001
CIGNA PROVIDER NUMBER
TN
Enumeration date
06/23/2005
Last updated
09/20/2026
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