Individual
MADHAV NARAYAN DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8630 FENTON ST, 1200, SILVER SPRING, MD 20910
(240) 839-5811
(301) 495-0318
Mailing address
8630 FENTON STREET, 1204, SILVER SPRING, MD 20910
(240) 839-5811
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
158246-1
NY
207R00000X
Internal Medicine Physician
Primary
D83485
MD
207RG0100X
Gastroenterology Physician
158246-1
NY
207RG0100X
Gastroenterology Physician
D83485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834235
—
NY
05
—
207253000
—
MD
01
—
AW58-0118
CALCFIRST
MD
Enumeration date
06/10/2006
Last updated
07/30/2020
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