Individual
AMOL SUDHAKAR DESHPANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 PROSPECT DR, TRINITY, TX 75862-6202
(936) 594-7375
(936) 594-3797
Mailing address
103 HAWTHORN, LUFKIN, TX 75904-5361
(936) 634-2128
(936) 594-0491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K5089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029685702
—
TX
Enumeration date
02/12/2007
Last updated
03/17/2026
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