Individual
SHREELEKHA A DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 S 7TH ST, TERRE HAUTE, IN 47802-4301
(812) 917-0047
(812) 917-0051
Mailing address
4320 S 7TH ST, TERRE HAUTE, IN 47802-4301
(812) 917-0047
(812) 917-0051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01055950A
IN
208D00000X
General Practice Physician
01055950A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244692
BLUE CROSS PROVIDER #
—
05
—
200386870
—
IN
Enumeration date
01/18/2006
Last updated
09/28/2020
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