Individual
DR. VILAS DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(602) 374-7774
Mailing address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(602) 374-7774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0059528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250630100
—
FL
Enumeration date
10/13/2005
Last updated
08/12/2015
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