Individual
DR. PRIYA SUDHAKAR DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3614D J DEWEY GRAY CIR STE D, AUGUSTA, GA 30909-1806
(706) 868-7380
(706) 868-7223
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 650-9540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049002
GA
207Q00000X
Family Medicine Physician
Primary
49002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049002
LICENSE
GA
05
—
0875916A
—
GA
01
—
10056076
AMERIGROUP
GA
01
—
336957
WELLCARE
GA
01
—
49002
GA MEDICAL LICENSE
GA
01
—
CH0654
RR MEDICARE GROUP PIN
GA
05
—
G49002
—
SC
Enumeration date
06/23/2006
Last updated
04/20/2026
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