Individual
DR. KALPANA S. DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2000
(856) 751-0535
Mailing address
PO BOX 1710, SOUTH JERSEY RADIOLOGY ASSOCIATES, PA, VOORHEES, NJ 08043-7710
(856) 770-0504
(856) 770-0395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA04036100
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
ME125789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057263000
AMERIHEALTH HMO
—
01
—
063402
AMERIHEALTH PPO
—
05
—
101809000
—
FL
01
—
10654859
CAQH
—
01
—
1144632
HORIZON NJ HEALTH
—
05
—
1188704
—
NJ
01
—
2100749
UNITED HEALTHCARE
—
01
—
2608168
AETNA
—
01
—
300122630
RAILROAD MEDICARE
—
01
—
63402
PREMIER BLUE
—
01
—
A3738029
OXFORD HEALTH
—
01
—
KP347
MEDICARE
FL
01
—
MRZ7W
BCBS OF FLORIDA
FL
Enumeration date
07/14/2005
Last updated
06/06/2019
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