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Individual

KRISHNA B DESHPANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4995 BRADENTON AVE STE 110, DUBLIN, OH 43017-3551
(937) 707-4662
(614) 573-0530
Mailing address
4995 BRADENTON AVE STE 110, DUBLIN, OH 43017-3551
(937) 707-4662
(614) 573-0530

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-041372
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
35041372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0363753
OH
Enumeration date
07/21/2006
Last updated
03/26/2025
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