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Individual

DR. AVINASH S. DESHMUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5705 MONCLOVA RD, SUITE 202, MAUMEE, OH 43537-1875
(419) 893-0902
(419) 891-0152
Mailing address
2108 RIVER RIDGE DR, ASHEVILLE, NC 28803-1097
(828) 299-4418
(828) 299-4418

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35035526
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0302096
OH
01
340004874
RAIL ROAD MEDICARE PIN
OH
Enumeration date
08/23/2005
Last updated
10/17/2008
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