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Individual

SONALI S DESHMUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23057
NE
207RN0300X
Nephrology Physician
33510
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04425
BC/BS OF NEBRASKA
NE
05
0442731
IA
05
47078164513
NE
Enumeration date
06/28/2006
Last updated
04/10/2019
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