Individual
DR. GAUTAM ANIL DESHPANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2336
(808) 547-9274
Mailing address
1025 WILDER AVE APT 12A, HONOLULU, HI 96822-2670
(832) 215-3120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14365
HI
207R00000X
Internal Medicine Physician
A96011
CA
Other
Enumeration date
03/20/2007
Last updated
05/19/2008
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