Individual
DR. YUSUF KHAN DESHMUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322
Mailing address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21252
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050025
PASSPORT
KY
05
—
64212525
—
KY
Enumeration date
11/16/2005
Last updated
02/22/2012
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