Individual
POONAM DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
WAKE FOREST MEDICAL CENTER MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Mailing address
3501 COFFEE RD STE 7, MODESTO, CA 95355-1343
(209) 676-3069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A158459
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2014
Last updated
07/23/2019
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