Individual
PRADNYA DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
759 45TH ST STE 202, MUNSTER, IN 46321-2939
(219) 513-3416
(219) 513-3455
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200861030
—
IN
01
—
M14714062
MEDICARE PTAN
IN
01
—
P00390151
RAILROAD MEDICARE
IN
Enumeration date
03/28/2007
Last updated
02/13/2026
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