Doctor Name: | AJAY D DESHPANDE |
NPI Number: | 1629058680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01052847A |
Business Practice Address: | 4525 Springhill Junction Terre Haute, IN - 47802 |
Business Phone Number: | 8122346053 |
Business Fax Number: | 8124783416 |
Mailing Address: | 4525 Springhill Junction, TERRE HAUTE |
State: | IN |
Postal Code: | 47802 |
Phone Number: | 8122346053 |
Fax Number: | 8124783416 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01052847A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |