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Individual

DR. AVINASH S DESHPANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
253 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2203
(304) 455-1019
(304) 455-0141
Mailing address
253 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2203
(304) 455-1019
(304) 455-0141

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19828
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6700375000
WV
Enumeration date
10/10/2006
Last updated
07/08/2007
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