# NICOLE S. DESHMUKH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417486853
- **Gender:** F
- **Credential:** MS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 11415578-1205 | UT | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | MD2023-1074 | NM | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 02/12/2025