Individual
CHETAN S. DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
063314
GA
207XX0801X
Orthopaedic Trauma Physician
Primary
063314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146082906C
—
GA
01
—
559738
WELLCARE
GA
05
—
GA1084
—
SC
01
—
P00869905
RR MEDICARE
GA
Enumeration date
05/15/2007
Last updated
02/23/2021
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