Individual
VARSHA GANESH DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 423-2454
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 423-2454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063865
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F361320
BCBSM
MI
05
—
1063592657
—
MI
Enumeration date
10/17/2006
Last updated
08/28/2008
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