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Individual

DR. VILAS K DESHPANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 N 17TH ST, SUITE 307, ALLENTOWN, PA 18104-5034
(610) 434-2162
(610) 434-9370
Mailing address
401 N 17TH ST, SUITE 307, ALLENTOWN, PA 18104-5034
(610) 434-2162
(610) 434-9370

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025285E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1188801
CAPITAL BLUE CROSS
01
126735
HIGHMARK BLUE SHIELD
PA
01
19045
AETNA HMO
01
5916060
AETNA PPO POS
05
8276160001
PA
01
P002989
GATEWAY
Enumeration date
06/16/2006
Last updated
11/15/2007
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