Individual
MS. DEEPTI R DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3331
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43194
AZ
208000000X
Pediatrics Physician
81935-PG PERMIT
AZ
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
P12802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81935
PG PERMIT NUMBER-ARIZONA MEDICAL BOARD
AZ
01
—
P12802
NY LIMITED PERMIT LICENSE NUMBER
NY
Enumeration date
05/12/2008
Last updated
11/08/2019
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