Individual
NICOLE S. DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 84640, ALBUQUERQUE, NM 87131-1100
(505) 272-4814
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11415578-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2023-1074
NM
Other
Enumeration date
06/08/2017
Last updated
02/12/2025
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