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Organization
MUKUND DESHMUKH MD INC APC
Active
Organization
MUKUND DESHMUKH MD INC APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUND V DESHMUKH MD (PROVIDER/OWNER)
(714) 401-4127
Entity
Organization
Contact information
Practice address
6143 E CLIFFWAY DR, ORANGE, CA 92869
(562) 866-1895
(562) 866-5730
Mailing address
39702 KUCERA CT, MURRIETA, CA 92563-5402
(951) 677-0044
(951) 677-0266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A051789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A517890
—
CA
01
—
00A517891
BLUE SHIELD
CA
Enumeration date
09/26/2006
Last updated
03/13/2023
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