Individual
CHETAN S. DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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