Individual
KAIVALYA DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
(718) 630-8515
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
(718) 630-8515
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
325411
NY
207RP1001X
Pulmonary Disease Physician
Primary
325411
NY
Other
Enumeration date
03/23/2017
Last updated
11/15/2023
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