Individual
DR. KAIVALYA SANJAY DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3654
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3654
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A179401
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME173920
FL
Other
Enumeration date
05/10/2018
Last updated
06/20/2025
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