Individual
ANAND DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 EDMUNDSON PL, STE. #306, COUNCIL BLUFFS, IA 51503-4658
(712) 396-7787
(712) 396-4115
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24749
NE
207RC0000X
Cardiovascular Disease Physician
24749
NE
207RC0000X
Cardiovascular Disease Physician
Primary
38455
IA
207RI0011X
Interventional Cardiology Physician
24749
NE
207RI0011X
Interventional Cardiology Physician
38455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026209700
—
NE
05
—
1003022708
—
IA
Enumeration date
05/16/2007
Last updated
10/21/2014
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